Samuel L Kipper, M.D.

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

License

A34500 Issued in CA

Practice address

1100 N Tustin Ave
Suite a
Santa Ana, CA 92705-3509

Phone

(714) 835-6055

Fax

(714) 285-9084

NPI assigned

Apr 24, 2006

Last updated

May 9, 2014By the provider in NPPES

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

Other identifiers 2

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

Merit-based Incentive Payment System (MIPS)

Final score

91.25 of 100Reported as group

Quality

75

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Norcal Imaging

  • Diagnostic Radiology Physician
  • Concord, CA
  • NPI 1003965997
  Medicare reassignment NPD
• Pronet Imaging Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1528099488
  Medicare reassignment NPD
• San Fernando Valley Interventional Radiology and Imaging Center

  • Vascular-Interventional Technology Radiologic Technologist
  • Encino, CA
  • NPI 1942350889
  Medicare reassignment NPD
• Modern Nuclear, Inc.

  • Nuclear Medicine Technology Radiologic Technologist
  • La Habra, CA
  • NPI 1063851335
  NPD
• Modern Nuclear, Inc.

  • Nuclear Medicine Technology Radiologic Technologist
  • La Habra, CA
  • NPI 1659394047
  NPD
• Norcal Imaging

  • Diagnostic Radiology Physician
  • Berkeley, CA
  • NPI 1881971299
  NPD
• Northern California P.E.T. Imaging Center

  • Nuclear Medicine Physician
  • Rocklin, CA
  • NPI 1659069672
  NPD
• Northern California P.E.T. Imaging Center

  • Nuclear Medicine Physician
  • Roseville, CA
  • NPI 1790734317
  NPD
• Northern California P.E.T. Imaging Center

  • Radiology Clinic/Center
  • Sacramento, CA
  • NPI 1992754741
  NPD
• Pacific Coast Cardiology Medical Group

  • Cardiovascular Disease Physician
  • Newport Beach, CA
  • NPI 1245284843
  NPD (past)
• Santa Ana Tustin Radiology Medical Group

  • Diagnostic Radiology Physician
  • Santa Ana, CA
  • NPI 1972531036

  Nuclear Radiology

  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1265498836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6279",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462066279",
            "telephone_number": "866-727-1072",
            "fax_number": "800-508-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N TUSTIN AVE",
            "address_2": "SUITE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053509",
            "telephone_number": "714-835-6055",
            "fax_number": "714-285-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPPER",
        "first_name": "SAMUEL",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "A34500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A345000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "360004475",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Kinney
• Rachael Kaho Kinoshita
• Rory Kinsella
• Kintsu Physical Therapy and Wellness, Inc. (Kintsu Physical Therapy and Wellness)
• Jennifer Lynn Kippe
• Christine Molina Kirazli
• Gregory Bogdan Kirkorowicz, MD
• Mark A. Kirsch, MPT
• Jacob Kirschner
• Erika Kiseloff, ABAT

• Nuclear Radiology Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Nuclear Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.