Ronald Keut Nudelmar, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G38876 Issued in CA

Practice address

11600 Wilshire #218
Los Angeles, CA 90025

Phone

(310) 312-2922

Fax

(310) 312-2925

NPI assigned

Oct 3, 2006

Last updated

Jul 8, 2007By 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

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

Nephrology

Education

Wayne State University School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dependable Home Care Services Inc Home health agency, Simi Valley, CA, CCN 059083
• Onyx Home Health Care Inc Home health agency, Los Angeles, CA, CCN 757780
• A-1 Hospice Care Inc Hospice, Burbank, CA, CCN 751756

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Dependable Home Care Services Inc

  • Home Health Agency
  • Burbank, CA
  • NPI 1093961823

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Mobile Physicians Comfort Care, Inc - Apmc

  • General Practice Physician
  • Valley Village, CA
  • NPI 1386428126
  Medicare reassignment NPD

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

• A-1 Hospice Care Inc

  • Community Based Hospice Care Agency
  • Burbank, CA
  • NPI 1871838276
  Care Compare affiliation
• Dependable Home Care Services Inc

  • Home Health Agency
  • Burbank, CA
  • NPI 1093961823
  Care Compare affiliation
• Onyx Home Health Care Inc

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1740909845
  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477647683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE #218",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-312-2922",
            "fax_number": "310-312-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE #218",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-312-2922",
            "fax_number": "310-312-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUDELMAR",
        "first_name": "RONALD",
        "middle_name": "KEUT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G38876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Braxton Nuckols, MD
• Teryl Kirsten Nuckols, MD
• Kimberly Nucum
• Anna Guerra Nudelman, BS
• Kenneth A. Nudelman, MD
• Keith H. Nuechterlein, PHD
• Nuestra Angel Medical Center Inc
• Nuestra Clinica, Inc
• Nuestra Familia, a Counseling and Social Services Agency, Inc
• Nuestra Rehabilitation Center , Inc.

• Nephrology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.