NPIMap

Individual provider Active NPI

Thomas T. Paukert, M.D.

  • Nephrology Physician
  • Napa, CA
National Provider Identifier
1013989540
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G36333 Issued in CA
Practice address
3443 Villa LN
Suite 6
Napa, CA 94558-6417
Phone
(707) 252-8407
Fax
(707) 252-8335
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G36333 CA Primary

Addresses

Primary practice location

3443 Villa LN
Suite 6
Napa, CA 94558-6417

Mailing address

3443 Villa LN
Suite 6
Napa, CA 94558-6417
Phone (707) 252-8407

Other identifiers 2

IdentifierTypeStateIssuer
00G363330MedicaidCA
1013989540OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728001161 CA Practitioner - NephrologyPractitioner - Internal Medicine 5698745511 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Napa Valley Nephrology and Internal Medicine IncGroup PAC ID 7911942214, 2 clinicians

Practice addresses (Care Compare)

3443 Villa LN
Suite 6
Napa, CA 94558-6417
Phone (707) 252-8407

Hospital & facility affiliations

  • DaVita Lakeport Dialysis Center Dialysis facility, Lakeport, CA, CCN 052601
  • DaVita Silverado Dialysis Dialysis facility, Napa, CA, CCN 052565
  • DaVita Napa Dialysis Center Dialysis facility, Napa, CA, CCN 052615
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317
  • Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

Merit-based Incentive Payment System (MIPS)

Final score
89.41 of 100Reported as group
Quality
86.32
Promoting interoperability
95
Improvement activities
40
Cost
66.55

Merit-based Incentive Payment System (MIPS)

Final score
18.77 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G36333CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals CurrentSince Apr 22, 2020 Accepting new patients
Department of State Hospitals CurrentSince Apr 22, 2020 Accepting new patients
Napa Valley Nephrology and Internal Medicine Inc Nephrology CurrentSince Oct 1, 2002 Accepting new patients
Department of State Hospitals Current Accepting new patients
Aretaeus Telemedicine Inc. CurrentSince Nov 28, 2010 Accepting new patients
St. Joseph Health Northern California, LLC CurrentSince Mar 1, 2021 Accepting new patients
St. Joseph Health Northern California, LLC CurrentSince Mar 1, 2021 Accepting new patients
Paukert Dialysis Inc PastSince Nov 12, 2007 Accepting new patients
Veterans Home of California Past Accepting new patients
SRM Alliance Hospital Services Past Accepting new patients
Adventist Health Clearlake Hospital, Inc Past Accepting new patients
St. Helena Hospital Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Sonoma Valley Health Care District Past Accepting new patients

Locations

3300 Renner Dr
Fortuna, CA 95540
Phone (707) 725-3361

2100 Napa Vallejo Hwy
Napa, CA 94558
Phone (707) 253-5000

3443 Villa Ln
Ste 6
Napa, CA 94558
Phone (707) 252-8407

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

1 Madrone St
Willits, CA 95490
Phone (707) 456-3041

Interoperability endpoints

  • Direct secure messaging: napavalleynephrology&internalmed.thomaspaukert@149672.advancedmd-direct.com
  • Direct secure messaging: tpaukert194744@hisp.ehr.sutterhealth.org

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1013989540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 VILLA LN",
            "address_2": "SUITE 6",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586417",
            "telephone_number": "707-252-8407",
            "fax_number": "707-252-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 VILLA LN",
            "address_2": "SUITE 6",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586417",
            "telephone_number": "707-252-8407",
            "fax_number": "707-252-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUKERT",
        "first_name": "THOMAS",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G36333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G363330",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013989540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.