Active NPI
Marnie Jo Kremer Prill, MD
- Diagnostic Radiology Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A109358
- Practice address
- One Hoag Drive
Newport Beach, CA 92663-4162 - Phone
- (949) 645-3534
- NPI assigned
- Oct 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A109358 | CA | Primary |
Addresses
Primary practice location
One Hoag Drive
Newport Beach, CA 92663-4162
Mailing address
471 N. Old Newport #302
Newport Beach, CA 92633-4244
Phone (949) 645-3534
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366694606 | Medicaid | CA | |
| 00A10935800 | Other | CA | BCBS OF CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Maryland School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Fir St
San Diego, CA 92101-2327
Phone (848) 499-2600
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109358 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Newport Center Radiology Associates Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Sharp Rees-Stealy Medical Center | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients |
Locations
20 Executive Park
Ste 155
Irvine, CA 92614
360 San Miguel Dr
Ste 105
Newport Beach, CA 92660
Phone (949) 365-3534
360 San Miguel Dr
Ste 1
Newport Beach, CA 92660
Phone (949) 365-3534
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
360 San Miguel Dr
Ste 105106
Newport Beach, CA 92660
Dept LA 21705
Pasadena, CA 91185
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
300 Fir St
San Diego, CA 92101
Phone (619) 446-1586
Interoperability endpoints
- mkremerprill114280@sharphealthcare.direct-ci.com
Organizations & group practices 6
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 Diego, CA
- NPI 1285616177
-
dba Newport Imaging Center
- Diagnostic Radiology Physician
- Newport Beach, CA
- NPI 1013951714
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- Physical Therapist
- Chula Vista, CA
- NPI 1407096589
-
dba SHC Reference Laboratory
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1366694606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 N. OLD NEWPORT #302",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926334244",
"telephone_number": "949-645-3534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE HOAG DRIVE",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634162",
"telephone_number": "949-645-3534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREMER PRILL",
"first_name": "MARNIE",
"middle_name": "JO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-17",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A109358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366694606",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF CA",
"identifier": "00A10935800",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.