Keith Edwin-Mosun Tao, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G42441 Issued in CA

Practice address

2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536

Phone

(925) 296-1756

Fax

(925) 296-7171

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Diagnostic Radiology

Education

University of California, San Francisco School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Solano Diagnostics Partners a Calif Limited PartnershipGroup PAC ID 4587556865, 43 clinicians

Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, 133 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101
• Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523
• Northbay Medical Center Hospital, Fairfield, CA, CCN 050367
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Merit-based Incentive Payment System (MIPS)

Final score

90.67 of 100Reported as group

Quality

84.1

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ktao50895@hisp.ehr.sutterhealth.org

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.

• Bay Imaging Consultants Medical Group Inc

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
  • NPI 1356597637
  Medicare reassignment Care Compare group NPD
• Solano Diagnostics Partners a Calif Limited Partnership

  • Diagnostic Radiology Physician
  • Fairfield, CA
  • NPI 1811940661
  Medicare reassignment Care Compare group
• John Muir Magnetic Imaging Center

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
  • NPI 1235184110
  Medicare reassignment NPD
• Magnetic Imaging Affiliates, LLC

  • Diagnostic Radiology Physician
  • Oakland, CA
  • NPI 1487040770
  Medicare reassignment NPD
• Bay Imaging Consultants Medical Group Inc

  • Diagnostic Radiology Physician
  • Brentwood, CA
  • NPI 1730335605
  NPD
• Alta Bates Summit Medical Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Oakland, CA
  • NPI 1043358542
  NPD (past)
• Eden Medical Center/San Leandro Hospital Campus

  • Rehabilitation Hospital Unit
  • San Leandro, CA
  • NPI 1679523633
  NPD (past)
• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • Walnut Creek, CA
  • NPI 1972552990
  NPD (past)
• John Muir Call Coverage Medical Group, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Walnut Creek, CA
  • NPI 1306056262
  NPD (past)
• John Muir Health

  • Rehabilitation Hospital Unit
  • Walnut Creek, CA
  • NPI 1447269303
  NPD (past)
• Sutter Bay Hospitals

  • Rehabilitation Hospital Unit
  • Oakland, CA
  • NPI 1194171371
  NPD (past)
• Sutter Delta Medical Center

  • General Acute Care Hospital
  • Antioch, CA
  • NPI 1124135132
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northbay Healthcare Group

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Antioch, CA
  • NPI 1467808659
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Vallejo, CA
  • NPI 1366686248
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1265468094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-1756",
            "fax_number": "925-296-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-1756",
            "fax_number": "925-296-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAO",
        "first_name": "KEITH",
        "middle_name": "EDWIN-MOSUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G42441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tianyi Tang, M.D., PH.D.
• Tanja L. Kujac, MD Inc
• William S. Tanner, M.D.
• Alexa Nadia Tanoto, DPT
• Eric Mour-Kee Tao, M.D.
• Lan Tao
• Erryn Tappy
• Tarantino Medical Group, Inc.
• Tara Lauren Tarantino, D.O.
• Nariah Tarap

• Diagnostic Radiology Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.

Verify at the official NPI Registry.