NPIMap

Individual provider Active NPI

Kuang-Hwa Kenneth Chao, M.D.

  • Radiation Oncology Physician
  • Walnut Creek, CA
National Provider Identifier
1073721569
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A104893 Issued in CA
Practice address
575 Lennon LN
Walnut Creek, CA 94598-2443
Phone
(925) 954-6710
Fax
(925) 954-6711
NPI assigned
May 18, 2007
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A104893 CA Primary

Addresses

Primary practice location

575 Lennon LN
Walnut Creek, CA 94598-2443

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 433-8786

Other practice location 1

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 954-6710

Other names 1

  • Dr. K. Kenneth Chao Professional name

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
I20100826000881 CA Practitioner - Radiation Oncology 1355431107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Texas Southwestern Medical School at Dallas, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

575 Lennon LN
Walnut Creek, CA 94598-2443
Phone (925) 378-4512

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104893CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Jan 1, 2021 Accepting new patients
Bass Medical Group CurrentSince Jan 1, 2021 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Sep 3, 2016 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Bass Medical Group Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
John Muir Health Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
John Muir Health Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2350 Country Hills Dr
Ste A
Antioch, CA 94509
Phone (925) 464-1982

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

355 Lennon Ln
Ste 205
Walnut Creek, CA 94598
Phone (925) 935-0627

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

575 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 378-4512

575 Lennon Ln
Ste 125
Walnut Creek, CA 94598

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kchao142069@hisp.ehr.sutterhealth.org
  • Direct secure messaging: kchao16857@ehr.johnmuirhealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 4

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1073721569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-433-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982443",
            "telephone_number": "925-954-6710",
            "fax_number": "925-954-6711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2637 Shadelands Dr",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982512",
            "country_code": "US",
            "telephone_number": "925-954-6710",
            "fax_number": "925-954-6711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAO",
        "first_name": "KUANG-HWA",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A104893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K.",
            "last_name": "CHAO",
            "middle_name": "KENNETH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.