Active NPI
Lisa R Kroopf MD a Professional Medical Corporation
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Monterey, CA
National Provider Identifier
1386261519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- LISA R KROOPF MD A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 172 El Dorado St
Monterey, CA 93940-3118 - Phone
- (831) 901-3940
- Fax
- (831) 901-3939
- NPI assigned
- Jul 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Kroopf, MD
- Title
- Physician
- Phone
- (831) 901-3940
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
172 El Dorado St
Monterey, CA 93940-3118
Mailing address
172 El Dorado St
Monterey, CA 93940-3118
Phone (831) 901-3940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487896585 | Other | CA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Monterey, CA
- NPI 1487896585
-
- Family Nurse Practitioner
- Monterey, CA
- NPI 1144749540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1386261519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 EL DORADO ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403118",
"telephone_number": "831-901-3940",
"fax_number": "831-901-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 EL DORADO ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403118",
"telephone_number": "831-901-3940",
"fax_number": "831-901-3939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA R KROOPF MD A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-04",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "KROOPF",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "831-901-3940",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1487896585",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.