Douglas P Kerr, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G69670 Issued in CA

Practice address

2021 Herndon Ave
# 101
Clovis, CA 93611-6101

Phone

(559) 981-5566

Fax

(559) 321-8730

NPI assigned

Aug 10, 2006

Last updated

May 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Emergency Medicine

Education

Hahnemann University College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premium Urgent Care IncGroup PAC ID 9638306533, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Hanford Hospital, Hanford, CA, CCN 050121

Merit-based Incentive Payment System (MIPS)

Final score

80.31 of 100Reported as group

Quality

63.06

Improvement activities

40

Cost

72.25

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Premium Urgent Care, Inc.

  dba Premium Urgent Care

  • Urgent Care Clinic/Center
  • Clovis, CA
  • NPI 1952744070
  Medicare reassignment Care Compare group NPD
• Premium Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Fresno, CA
  • NPI 1619747623
  NPD
• Premium Urgent Care, Inc.

  dba Premium Urgent Care

  • Urgent Care Clinic/Center
  • Fresno, CA
  • NPI 1942696455
  NPD
• California Emergency Physicians Medical Group

  • Emergency Medicine Physician
  • Visalia, CA
  • NPI 1699721027
  NPD (past)
• Premium Urgent Care, Inc.

  dba Premium Urgent Care

  • Urgent Care Clinic/Center
  • Fresno, CA
  • NPI 1821473935
  NPD (past)

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

• Hanford Community Hospital

  dba Adventist Health Hanford

  • General Acute Care Hospital
  • Hanford, CA
  • NPI 1538141627
  Care Compare affiliation

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1417968173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 HERNDON AVE",
            "address_2": "STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116316",
            "telephone_number": "559-797-4315",
            "fax_number": "559-321-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 HERNDON AVE",
            "address_2": "# 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116101",
            "telephone_number": "559-981-5566",
            "fax_number": "559-321-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G69670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G696700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda G. Kelsey, PH.D.
• Melissa Kemp
• Sienna Rose Kenney, RD
• Neal J Kennington, PH.D.
• Kent Psychiatry
• Allen Keshishian Namagerdi, PHARMD
• Derik Keshishian, M.D.
• Ani A Ketabgian, M.D.
• Erin Kettner
• Amanda Alyse Key, PHARMD

• Emergency Medicine Physician in Clovis, CA
• Providers in Clovis, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.