Individual provider Active NPI

Carl George Knopke III, MD

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1073500294
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A82718 Issued in CA
Practice address
4646 Brockton Ave
Ste 302
Riverside, CA 92506-0102
Phone
(951) 774-2723
Fax
(951) 231-1361
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A82718 CA Primary

Addresses

Primary practice location

4646 Brockton Ave
Ste 302
Riverside, CA 92506-0102

Mailing address

4646 Brockton Ave
Suite 302
Riverside, CA 92506-0102
Phone (951) 774-2723

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
I20040810001502 CA Practitioner - Internal Medicine 9436121373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raincross Urgent Care, Inc.Group PAC ID 7315330917, 3 clinicians
Raincross Medical Group IncGroup PAC ID 9638079304, 6 clinicians

Practice addresses (Care Compare)

4646 Brockton Ave
Suite 101
Riverside, CA 92506-0103
Phone (951) 774-2860

4646 Brockton Ave
Suite 203
Riverside, CA 92506-0104
Phone (951) 774-2881

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82718CAMDPharmacist
A82718CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raincross Urgent Care, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Care Community, P.C. Family Medicine Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

4646 Brockton Ave
Ste 302
Riverside, CA 92506
Phone (951) 682-6900

4646 Brockton Ave
Ste 202
Riverside, CA 92506
Phone (909) 774-2800

4646 Brockton Ave
Ste 302-3
Riverside, CA 92506

4646 Brockton Ave
Ste 101
Riverside, CA 92506
Phone (951) 774-2755

4646 Brockton Ave
Ste 203
Riverside, CA 92506
Phone (951) 394-7028

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: carl.knopke@695428936433668.direct.elationemr.com
  • Direct secure messaging: carl.knopke@403277232537604.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1073500294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 BROCKTON AVE",
            "address_2": "SUITE 302",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060102",
            "telephone_number": "951-774-2723",
            "fax_number": "951-231-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 BROCKTON AVE",
            "address_2": "STE 302",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060102",
            "telephone_number": "951-774-2723",
            "fax_number": "951-231-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOPKE",
        "first_name": "CARL",
        "middle_name": "GEORGE",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A82718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.