Individual provider Active NPI

Frederick Joseph Kretzschmar, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenbrae, CA
National Provider Identifier
1245348861
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G49874 Issued in CA
Practice address
250 Bon Air Rd
Greenbrae, CA 94904
Phone
(415) 925-7174
Fax
(415) 898-0870
NPI assigned
Aug 25, 2006
Last updated
Jul 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X G49874 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G49874 CA Primary

Addresses

Primary practice location

250 Bon Air Rd
Greenbrae, CA 94904

Mailing address

1615 Hill Rd
Ste B
Novato, CA 94947
Phone (415) 898-7649

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
I20081211000835 CA Practitioner - PathologyPractitioner - Nuclear Medicine 5294828521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Nuclear Medicine
Education
Vanderbilt University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marin Medical LaboratoriesGroup PAC ID 7911990916, 8 clinicians

Practice addresses (Care Compare)

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7174

347 Andrieux St
Sonoma, CA 95476-6811
Phone (707) 935-5185

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.54 of 100Reported as group
Quality
59.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49874CAMDPharmacist
G49874CAMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2010 Accepting new patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology Current Accepting new patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology Past Accepting new patients
Pacific Housecalls Inc PastSince Jan 17, 2011 Accepting new patients

Locations

200 Tamal Plz
Ste 200
Corte Madera, CA 94925
Phone (415) 925-6900

250 Bon Air Rd
#3
Greenbrae, CA 94904

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1615 Hill Rd
Ste B
Novato, CA 94947
Phone (415) 898-7649

1615 Hill Rd
Ste C
Novato, CA 94947
Phone (415) 209-6076

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

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 4

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1245348861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HILL RD",
            "address_2": "STE B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "94947",
            "telephone_number": "415-898-7649",
            "fax_number": "415-898-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "94904",
            "telephone_number": "415-925-7174",
            "fax_number": "415-898-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETZSCHMAR",
        "first_name": "FREDERICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "G49874",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G49874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.