Individual provider Active NPI

Frederick L Kronen, MD

  • Emergency Medicine Physician
  • Santa Rosa, CA
National Provider Identifier
1093758617
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G51036 Issued in CA
Practice address
3883 Airway Dr Ste 120
Santa Rosa, CA 95403-1678
Phone
(707) 521-4495
Fax
(707) 573-5421
NPI assigned
Jun 13, 2006
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G51036 CA Primary

Addresses

Primary practice location

3883 Airway Dr Ste 120
Santa Rosa, CA 95403-1678

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (707) 576-4040

Other identifiers 2

IdentifierTypeStateIssuer
00G510340MedicaidCA
419681MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061002000630 CA Practitioner - Emergency Medicine 0244278737 Reassigns benefits to 4 organizations
I20100914000888 TX Practitioner - Emergency MedicinePractitioner - Family Practice 0244278737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, San Diego School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
San Francisco Emergency Medical AssociatesGroup PAC ID 5698662518, 74 clinicians

Practice addresses (Care Compare)

3883 Airway Dr
Suite 120
Santa Rosa, CA 95403-1678
Phone (707) 521-4495

5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (707) 262-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.82
Promoting interoperability
91
Improvement activities
40
Cost
84.44

Merit-based Incentive Payment System (MIPS)

Final score
97.16 of 100Reported as group
Quality
91.91
Improvement activities
40
Cost
79.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51034CAMDMarriage & Family Therapist
G51036CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 10, 2018 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Foothill Emergency Medical Associates, Inc Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 10, 2018 Accepting new patients
Pacific Redwood Medical Group Inc Emergency Medicine Past Accepting new patients
Palm Drive Health Care District Past Accepting new patients
Verde Valley Medical Center Past Accepting new patients
Palm Drive Health Care District Past Accepting new patients
Sonoma Valley Emergency Physicians Medical Group, Inc. Emergency Medicine Past Accepting new patients
Willard Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

600 Marine Blvd
Moss Beach, CA 94038
Phone (650) 563-7100

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

Interoperability endpoints

  • Direct secure messaging: fkronen139072@hisp.ehr.sutterhealth.org

Organizations & group practices 15

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 15

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1093758617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "707-576-4040",
            "fax_number": "415-369-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 AIRWAY DR STE 120",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031678",
            "telephone_number": "707-521-4495",
            "fax_number": "707-573-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONEN",
        "first_name": "FREDERICK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G51036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G510340",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419681",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.