Individual provider Active NPI

Thomas Michael Kemmerly, M.D.

  • Gastroenterology Physician
  • Murrieta, CA
National Provider Identifier
1033476262
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A128828 Issued in CA
Practice address
40404 California Oaks Rd Ste C
Murrieta, CA 92562-5786
Phone
(951) 600-0288
NPI assigned
Apr 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A128828 CA Primary

Addresses

Primary practice location

40404 California Oaks Rd Ste C
Murrieta, CA 92562-5786

Mailing address

40404 California Oaks Rd Ste C
Murrieta, CA 92562-5786
Phone (951) 600-0288

Other practice location 1

1925 W River Rd
Apt 6206
Tucson, AZ 85704-1464
Phone (714) 277-7067

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814001895 CA Practitioner - Gastroenterology 3971817081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Empire Gastroenterology Medical Group, Inc.Group PAC ID 0749216794, 6 clinicians

Practice addresses (Care Compare)

40404 California Oaks Rd
Suite C
Murrieta, CA 92562-5786
Phone (909) 600-0073

Hospital & facility affiliations

  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as group
Quality
72.73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy91
Upper gastrointestinal (GI) endoscopy for acid reflux144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128828CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Single Specialty Current Accepting new patients
First Choice Physician Partners Single Specialty CurrentSince Oct 25, 2024 Accepting new patients
Inland Empire Gastroenterology Medical Group, Inc. Single Specialty CurrentSince Jul 16, 2018 Accepting new patients
First Choice Physician Partners CurrentSince Oct 25, 2024 Accepting new patients
El Camino Hospital Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Inland Empire Anesthesiology a Professional Medical Corporation Single Specialty Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
First Choice Physician Partners Single Specialty Past Accepting new patients

Locations

1753 W Avenue J
Ste A
Lancaster, CA 93534
Phone (661) 206-0555

40404 California Oaks Rd
Ste C
Murrieta, CA 92562
Phone (909) 600-0073

40404 California Oaks Rd
Ste A
Murrieta, CA 92562
Phone (951) 304-0200

40404 California Oaks Rd
Murrieta, CA 92562
Phone (909) 600-0078

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

29645 Rancho California Rd
Ste 209
Temecula, CA 92591
Phone (951) 693-9800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://46b7fca8-aab7-4c56-a183-88533aef4e46.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: tkemmerly181982@direct.llu.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1033476262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40404 CALIFORNIA OAKS RD STE C",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625786",
            "telephone_number": "951-600-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40404 CALIFORNIA OAKS RD STE C",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625786",
            "telephone_number": "951-600-0288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 W River Rd",
            "address_2": "Apt 6206",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857041464",
            "country_code": "US",
            "telephone_number": "714-277-7067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMMERLY",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A128828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.