Individual provider Active NPI

Michael B. Krinsky, M.D.

  • Orthopaedic Surgery Physician
  • Castro Valley, CA
National Provider Identifier
1194757716
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G22516 Issued in CA
Practice address
20990 Redwood Rd
Castro Valley, CA 94546-5918
Phone
(510) 886-8033
Fax
(510) 733-1542
NPI assigned
Jul 6, 2006
Last updated
Sep 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G22516 CA Primary

Addresses

Primary practice location

20990 Redwood Rd
Castro Valley, CA 94546-5918

Mailing address

20990 Redwood Rd
Castro Valley, CA 94546-5918
Phone (510) 886-8033

Other identifiers 1

IdentifierTypeStateIssuer
00G225161MedicaidCA

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
I20110106000617 CA Practitioner - Orthopedic Surgery 9335338359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York Downstate Medical Center, 1971
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Douglas J Abeles MD IncGroup PAC ID 1456449453, 4 clinicians

Practice addresses (Care Compare)

21030 Redwood Rd
Castro Valley, CA 94546-5920
Phone (510) 538-0430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22516CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas J Abeles, MD, Inc. CurrentSince Dec 19, 2017 Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients

Locations

21030 Redwood Rd
Castro Valley, CA 94546
Phone (510) 538-0430

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1194757716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20990 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465918",
            "telephone_number": "510-886-8033",
            "fax_number": "510-733-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20990 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465918",
            "telephone_number": "510-886-8033",
            "fax_number": "510-733-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRINSKY",
        "first_name": "MICHAEL",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G22516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G225161",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.