NPIMap

Individual provider Active NPI

Eileen Katherine Nenninger, MD

  • Infectious Disease Physician
  • San Leandro, CA
National Provider Identifier
1295199966
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A186925 Issued in CA
Practice address
13851 E 14TH St Ste 308
San Leandro, CA 94578-2630
Phone
(925) 463-1318
NPI assigned
Apr 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A186925 CA Primary

Addresses

Primary practice location

13851 E 14TH St Ste 308
San Leandro, CA 94578-2630

Mailing address

13851 E 14TH St Ste 308
San Leandro, CA 94578-2630
Phone (518) 260-5030

Other names 1

  • Mrs. Katherine Nenninger Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914000032 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 0749575058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Virginia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

13851 E 14TH St
Suite 308
San Leandro, CA 94578-2630
Phone (925) 463-1318

13855 E 14TH St
San Leandro, CA 94578-2611
Phone (510) 357-6500

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

2070 Clinton Ave
Alameda, CA 94501-4399
Phone (510) 522-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Merit-based Incentive Payment System (MIPS)

Final score
90.7 of 100Reported as group
Quality
72.06
Improvement activities
40
Cost
72.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A186925CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System Current Accepting new patients
Alameda Health System CurrentSince Sep 30, 2023 Accepting new patients
Diablo Infectious Disease Consultative Service Med GRP Inc Infectious Disease CurrentSince Aug 30, 2023 Accepting new patients
Alameda Health System CurrentSince Sep 30, 2023 Accepting new patients

Locations

1141 Catalina Dr
#194
Livermore, CA 94550

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768

13851 E 14th St
Ste 308
San Leandro, CA 94578
Phone (510) 351-1193

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.

Hospital & facility affiliations 5

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1295199966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 308",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782630",
            "telephone_number": "518-260-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 308",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782630",
            "telephone_number": "925-463-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NENNINGER",
        "first_name": "EILEEN",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A186925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "NENNINGER",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.