Individual provider Active NPI

Kristina M. Kury, M.D.

  • Pulmonary Disease Physician
  • Oakland, CA
National Provider Identifier
1154357713
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A54666 Issued in CA
Practice address
411 30TH St
Suite 314
Oakland, CA 94609-3312
Phone
(510) 465-6800
Fax
(510) 268-0634
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A54666 CA
Pulmonary Disease Physician 207RP1001X A54666 CA Primary

Addresses

Primary practice location

411 30TH St
Suite 314
Oakland, CA 94609-3312

Mailing address

411 30TH St
Suite 314
Oakland, CA 94609-3312
Phone (510) 841-0689

Other identifiers 1

IdentifierTypeStateIssuer
00A546660MedicaidCA

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
I20040527000998 CA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 5092611707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Geisel School of Medicine at Dartmouth, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-4444

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC CurrentSince Jan 1, 2021 Accepting new patients
Berkeley Cardiovascular Medical Group Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients

Locations

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Interoperability endpoints

  • Direct secure messaging: kkury45981@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1154357713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 30TH ST",
            "address_2": "SUITE 314",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093312",
            "telephone_number": "510-841-0689",
            "fax_number": "510-841-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 30TH ST",
            "address_2": "SUITE 314",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093312",
            "telephone_number": "510-465-6800",
            "fax_number": "510-268-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURY",
        "first_name": "KRISTINA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A54666",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A54666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A546660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.