Individual provider Active NPI

Lewis Ringel Kanengiser, M.D.

  • Internal Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1124120787
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G45287 Issued in CA
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

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Home health agency, Encino, CA, CCN 058459
  • Dynamic Hospice and Palliative Care Hospice, Sherman Oaks, CA, CCN A01754
  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G45287CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.