Active NPI
Robert B Kiningham, MD
- Sports Medicine (Family Medicine) Physician
- Redwood City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- G202415
- Practice address
- 290 Redwood Shores Pkwy
Redwood City, CA 94065-1173 - Phone
- (415) 476-7877
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | G202415 | CA | Primary |
| Family Medicine Physician | 207Q00000X | 4301054682 | MI | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 4301054682 | MI | |
| Family Medicine Physician | 207Q00000X | G202415 | CA |
Addresses
Primary practice location
290 Redwood Shores Pkwy
Redwood City, CA 94065-1173
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
24 Frank Lloyd Wright Dr
Lobby H
Ann Arbor, MI 48105-9484
Phone (734) 647-5640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2956800 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Cincinnati College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2250 Hayes St
Suite 302
San Francisco, CA 94117-1078
Phone (415) 750-5995
3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020
400 Parnassus Ave
San Francisco, CA 94143-2202
Hospital & facility affiliations
- UCSF Health St. Mary'S Hospital
- UCSF Medical Center
- University of Michigan Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G202415 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Regents of the University of Michigan | Family Medicine | Current | Accepting new patients |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Past | Accepting new patients |
Locations
290 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 598-3160
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1500 E Medical Center Dr
#3
Ann Arbor, MI 48109
Phone (734) 763-2532
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
14700 E Old US Highway 12
Chelsea, MI 48118
Phone (734) 475-1321
Interoperability endpoints
- rkiningham27765@direct.med.umich.edu
- rkiningham447262@direct-ucsfmedicalcenter.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1669402848
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1366472326
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1346338456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 REDWOOD SHORES PKWY",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940651173",
"telephone_number": "415-476-7877"
}
],
"practiceLocations": [
{
"address_1": "24 Frank Lloyd Wright Dr",
"address_2": "Lobby H",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481059484",
"country_code": "US",
"telephone_number": "734-647-5640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KININGHAM",
"first_name": "ROBERT",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CA",
"license": "G202415",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301054682",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MI",
"license": "4301054682",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G202415",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2956800",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.