Active NPI
Robert Eidus, MD
- Family Medicine Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G148291
- Practice address
- 1450 Treat Blvd # 320
Walnut Creek, CA 94597 - Phone
- (925) 296-9880
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G148291 | CA | Primary |
Addresses
Primary practice location
1450 Treat Blvd # 320
Walnut Creek, CA 94597
Mailing address
1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2888
Other practice location 1
570 South Ave E
Building G, Unit A
Cranford, NJ 07016-3200
Phone (908) 272-7990
Medicare participation
Medicare enrollment files- 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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1450 Treat Blvd
Walnut Creek, CA 94597-2168
Hospital & facility affiliations
- John Muir Home Health Services
- John Muir Medical Center - Walnut Creek Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G148291 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Current | Accepting new patients | |
| Ahs Hospital Corp. | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
1450 Treat Blvd
#320
Walnut Creek, CA 94597
Phone (925) 296-9880
1450 Treat Blvd
Ste 320
Walnut Creek, CA 94597
Phone (925) 296-9827
1450 Treat Blvd
Ste 250B
Walnut Creek, CA 94597
Phone (925) 296-9740
1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828
Interoperability endpoints
- reidus119982@ehr.johnmuirhealth.com
Organizations & group practices 4
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.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Concord, CA
- NPI 1437161452
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1215901871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD # 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168",
"telephone_number": "925-952-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD # 320",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94597",
"telephone_number": "925-296-9880"
}
],
"practiceLocations": [
{
"address_1": "570 South Ave E",
"address_2": "Building G, Unit A",
"address_purpose": "LOCATION",
"city": "Cranford",
"state": "NJ",
"postal_code": "070163200",
"country_code": "US",
"telephone_number": "908-272-7990",
"fax_number": "908-272-7970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EIDUS",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G148291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.