Individual provider Active NPI

Samuel Kugel, M.D.

  • Psychiatry Physician
  • National City, CA
National Provider Identifier
1497813968
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A54412 Issued in CA
Practice address
502 Euclid Ave Ste 306
National City, CA 91950-8902
Phone
(619) 472-2600
Fax
(619) 472-5700
NPI assigned
Dec 5, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A54412 CA Primary

Addresses

Primary practice location

502 Euclid Ave Ste 306
National City, CA 91950-8902

Mailing address

1342 Rhoda Dr
La Jolla, CA 92037-5223
Phone (619) 472-2600

Other identifiers 1

IdentifierTypeStateIssuer
00A544120MedicaidCA

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
I20120224000753 CA Practitioner - Psychiatry 7113185927 Practice locations: National City, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

502 Euclid Ave
Suite 305
National City, CA 91950-8901
Phone (619) 472-2658

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
45.09 of 100Reported as individual
Quality
21.67
Improvement activities
0
Cost
88.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54412CAMDPharmacist
A54412CAMDPsychiatry Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Hospital & facility affiliations 2

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497813968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 RHODA DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375223",
            "telephone_number": "619-472-2600",
            "fax_number": "619-472-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE STE 306",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919508902",
            "telephone_number": "619-472-2600",
            "fax_number": "619-472-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUGEL",
        "first_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A54412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A544120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.