Individual provider Active NPI

Robert Coronado, M.D.

  • Interventional Cardiology Physician
  • Redding, CA
National Provider Identifier
1376502203
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A53183 Issued in CA
Practice address
2126 Eureka Way
Redding, CA 96001-0427
Phone
(530) 244-3278
Fax
(530) 244-3280
NPI assigned
Mar 20, 2006
Last updated
Oct 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A53183 CA
Cardiovascular Disease Physician 207RC0000X A53183 CA
Interventional Cardiology Physician 207RI0011X A53183 CA Primary

Addresses

Primary practice location

2126 Eureka Way
Redding, CA 96001-0427

Mailing address

2126 Eureka Way
Redding, CA 96001-0427
Phone (530) 244-3278

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050225000210 CA Practitioner - Cardiovascular Disease (Cardiology) 2769435205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2126 Eureka Way
Redding, CA 96001-0427

500 University Ave
Suite 102
Sacramento, CA 95825-6504
Phone (916) 701-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.66 of 100Reported as group
Quality
90.44
Improvement activities
40
Cost
71.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53183CAMDMarriage & Family Therapist
A53183CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Heart & Vascular Institute Inc Medical Associates Cardiovascular Disease CurrentSince Nov 1, 2004 Accepting new patients
Shasta Regional Medical Center, LLC Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Active Life Wound Center a Professional Medical Corporation PastSince Dec 22, 2024 Accepting new patients
Valley Heart Associates Medical Group Inc Cardiovascular Disease Past Accepting new patients
Cardiovascular Institute of the South, LLC Internal Medicine Past Accepting new patients

Locations

910 Main St
Red Bluff, CA 96080
Phone (530) 244-3278

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

2126 Eureka Way
Redding, CA 96001
Phone (530) 244-3278

500 University Ave
Ste 102
Sacramento, CA 95825
Phone (916) 425-0404

1526 Plumas Ct
Ste 250
Yuba City, CA 95991
Phone (530) 455-5670

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1376502203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010427",
            "telephone_number": "530-244-3278",
            "fax_number": "530-244-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010427",
            "telephone_number": "530-244-3278",
            "fax_number": "530-244-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53183",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A53183",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A53183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.