Individual provider Active NPI

Robert Raymond Kule, M.D.

  • Ophthalmology Physician
  • San Mateo, CA
National Provider Identifier
1235455197
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A118454 Issued in CA
Practice address
101 S San Mateo Dr Ste 306
San Mateo, CA 94401-3844
Phone
(650) 696-7070
NPI assigned
Apr 15, 2010
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A118454 CA Primary

Addresses

Primary practice location

101 S San Mateo Dr Ste 306
San Mateo, CA 94401-3844

Mailing address

101 S San Mateo Dr Ste 306
San Mateo, CA 94401-3844
Phone (650) 696-7070

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
I20140826000029 CA Practitioner - Ophthalmology 1557589066 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Sydney Williams and Associates IncGroup PAC ID 9032455795, 2 clinicians
Thomas Tayeri M D IncGroup PAC ID 3173527421, 5 clinicians

Practice addresses (Care Compare)

101 S San Mateo Dr
Suite 306
San Mateo, CA 94401-3844
Phone (650) 696-7070

1805 El Camino Real
Suite 100
Palo Alto, CA 94306-1163
Phone (650) 324-9200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A118454CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Sydney Williams and Associates Inc Ophthalmology CurrentSince Oct 1, 2018 Accepting new patients
Thomas Tayeri M D Inc Ophthalmology CurrentSince Aug 1, 2015 Accepting new patients
Stanford Health Care Past Accepting new patients

Locations

14777 Los Gatos Blvd
Ste 201
Los Gatos, CA 95032
Phone (408) 243-2020

1805 El Camino Real
Ste 10
Palo Alto, CA 94306
Phone (650) 324-9200

1805 El Camino Real
Ste 100
Palo Alto, CA 94306
Phone (650) 324-9200

101 S San Mateo Dr
Ste 306
San Mateo, CA 94401
Phone (415) 972-4600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rkule298999@hisp.ehr.sutterhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1235455197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 306",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013844",
            "telephone_number": "650-696-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 306",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013844",
            "telephone_number": "650-696-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULE",
        "first_name": "ROBERT",
        "middle_name": "RAYMOND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A118454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.