Robert Kendall Buckenberger, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3931 Issued in CA

Practice address

1642 E Herndon Ave
Suite 103
Fresno, CA 93720-3377

Phone

(559) 439-8642

Fax

(559) 433-9834

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
• Fresno Surgical Hospital Hospital, Fresno, CA, CCN 050708

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fresno Community Hospital and Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  NPD (past)
• Fresno Surgery Center LP

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205834694
  NPD (past)

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

• Fresno Surgery Center LP

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205834694
  Care Compare affiliation
• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  Care Compare affiliation

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1063594778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 E HERNDON AVE",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203377",
            "telephone_number": "559-439-8642",
            "fax_number": "559-433-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 E HERNDON AVE",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203377",
            "telephone_number": "559-439-8642",
            "fax_number": "559-433-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKENBERGER",
        "first_name": "ROBERT",
        "middle_name": "KENDALL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E39310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teryn Cook Buchanan, RD
• Paula Buchner
• Jamile Bucio
• Alexis Marie Buck
• John T Buck, DDS
• Robin Lee Buckle, R.N., C.P.N.P.
• Mary Kathleen Buckley, LCSW
• Kendla K. Buckowski
• April Bucu, RN
• Praveen Buddiga, M.D.

• Podiatrist in Fresno, CA
• Providers in Fresno, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.