Carolyn Beth Klebanoff, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G51271 Issued in CA

Practice address

3000 Colby
#200
Berkeley, CA 94705

Phone

(510) 848-7977

Fax

(510) 848-2831

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carolyn B Klebanoff MD Julie a Omelveny MD a Professional Corp.

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1306984836
  NPD Authorized official
• My Health Medical Group Inc

  dba Altais medical group

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1265719033
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093892846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLBY",
            "address_2": "#200",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-848-7977",
            "fax_number": "510-848-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY",
            "address_2": "#200",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-848-7977",
            "fax_number": "510-848-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEBANOFF",
        "first_name": "CAROLYN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G51271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Scott Kiser, PHARMD
• David Walter Kittams, M.D.
• Kiwi Pediatrics Medical Group, Inc.
• Michael G Kiyomoto, OD
• Karen Ann Klatt
• Laura Beth Klein, MD
• Arthur Kleinberg, MA
• Suepepi Kleinwaksmedcalf, PHD
• Justin Knapp-Wood, PT, DPT, CSCS
• Billie Zee Knight, O.D.

• Internal Medicine Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.