Active NPI
Lewis Ringel Kanengiser, M.D.
- Internal Medicine Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G45287
- Practice address
- 1301 20TH St
Suite #550
Santa Monica, CA 90404-2050 - Phone
- (310) 315-0188
- Fax
- (310) 315-0235
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G45287 | CA | Primary |
Addresses
Primary practice location
1301 20TH St
Suite #550
Santa Monica, CA 90404-2050
Mailing address
1301 20TH St
Suite #550
Santa Monica, CA 90404-2050
Phone (310) 315-0188
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110930000246 | CA | Practitioner - Internal Medicine | 0840462552 | Practice locations: Santa Monica, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1301 20TH St
Suite 550
Santa Monica, CA 90404-2054
Phone (310) 315-0188
Hospital & facility affiliations
- Supportive Home Health Care Corp
- Dynamic Hospice and Palliative Care
- Saint John'S Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G45287 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Human MD PC | Current | Accepting new patients |
Locations
1301 20th St
Ste 550
Santa Monica, CA 90404
Phone (310) 315-0231
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Santa Monica, CA
- NPI 1992583413
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Sherman Oaks, CA
- NPI 1942781604
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
- Home Health Agency
- Encino, CA
- NPI 1528278959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1124120787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 20TH ST",
"address_2": "SUITE #550",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042050",
"telephone_number": "310-315-0188",
"fax_number": "310-315-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 20TH ST",
"address_2": "SUITE #550",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042050",
"telephone_number": "310-315-0188",
"fax_number": "310-315-0235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANENGISER",
"first_name": "LEWIS",
"middle_name": "RINGEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G45287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.