John Paul McKenzie III, M.D.

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

G71752 Issued in CA

Practice address

660 W Broadway
Glendale, CA 91204-1008

Phone

(818) 542-9420

Fax

(818) 243-9605

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Internal MedicineAlso: Cardiovascular Disease (Cardiology)

Education

University of Missouri, Columbia School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagle Rock Medlink Group IncGroup PAC ID 3173050689, 3 clinicians

Heartbeat Cardiovascular Medical GroupGroup PAC ID 0840258778, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Five Star Quality Healthcare, Inc Home health agency, Glendale, CA, CCN 059346
• Jax Home Health, Inc Home health agency, Glendale, CA, CCN 757189
• Yaned Home Health Services Home health agency, Valley Village, CA, CCN 757670
• Infinity Healthcare Solutions, Inc Home health agency, Van Nuys, CA, CCN 053196
• Healthy People Home Care, Inc. Home health agency, Granada Hills, CA, CCN 559776
• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
• Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
• Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103
• Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
• Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jpm107pcs@m580.primeclinicalsystems.direct-ci.com

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.

• Alvarado Healthcare Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Los Angeles, CA
  • NPI 1033945662
  Medicare reassignment NPD Authorized official
• Eagle Rock Medlink Group Inc

  • Health Service Clinic/Center
  • Los Angeles, CA
  • NPI 1528882735
  Medicare reassignment Care Compare group NPD
• Heartbeat Cardiovascular Medical Group

  • Cardiovascular Disease Physician
  • Glendale, CA
  • NPI 1205898525
  Medicare reassignment Care Compare group NPD
• Glendale Adventist Medical Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Medicare reassignment NPD
• JPM Elite Medical Clinic Inc

  • Internal Medicine Physician
  • Granada Hills, CA
  • NPI 1053256040
  NPD Authorized official
• John P McKenzie III M D Inc

  • Clinical Cardiac Electrophysiology Physician
  • Glendale, CA
  • NPI 1316982762

  Cardiovascular Disease

  NPD (past) Authorized official
• Frizzy Oaks Medical Group Inc

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1427738939
  NPD
• Glendale Adventist Medical Center

  • Psychiatric Hospital Unit
  • Glendale, CA
  • NPI 1336138403
  NPD
• Cha Hollywood Medical Center, LP

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922033547
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  NPD (past)
• Glendale Adventist Medical Center

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1114916293
  NPD (past)
• Usc Verdugo Hills Hospital, LLC

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1265875207
  NPD (past)

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

• Cha Hollywood Medical Center, LP

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922033547
  Care Compare affiliation
• Dignity Community Care

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1477610640
  Care Compare affiliation
• Five Star Quality Healthcare Inc

  • Home Health Agency
  • Glendale, CA
  • NPI 1730325382
  Care Compare affiliation
• Glendale Adventist Medical Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation
• Healthy People Home Care Inc.

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1205447976
  Care Compare affiliation
• Infinity Healthcare Solutions Inc

  • Home Health Agency
  • Granada Hills, CA
  • NPI 1073745170
  Care Compare affiliation
• Jax Home Health, Inc

  • Home Health Agency
  • Glendale, CA
  • NPI 1972170082
  Care Compare affiliation
• Usc Verdugo Hills Hospital

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1033716147
  Care Compare affiliation
• White Memorial Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1215927470
  Care Compare affiliation
• Yaned Home Health Services

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1588315592
  Care Compare affiliation

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1366422685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041008",
            "telephone_number": "818-542-9420",
            "fax_number": "818-243-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041008",
            "telephone_number": "818-542-9420",
            "fax_number": "818-243-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G71752",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "G71752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G717520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G71752",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen McIlree
• Karen Jean McIlvena, M.D.
• Prairie-Dawn McKay
• Ronald Leo McKay, D.D.S
• Kayla Renee McKeighan
• McLa Psychiatric Medical Group a Professional Corporation
• Abigail McLaughlin
• Bernard T McNamara, MD
• McSsg
• Laureen Kiambao McVicker, PHYSICAL THERAPIST

• Clinical Cardiac Electrophysiology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinical Cardiac Electrophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.