Individual provider Active NPI

Mervin Peter Kril, MD

  • Neurological Surgery Physician
  • Grass Valley, CA
National Provider Identifier
1508051459
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A31299 Issued in CA
Practice address
120 N Auburn St Ste 115
Grass Valley, CA 95945-6277
Phone
(916) 576-7916
Fax
(530) 615-4995
NPI assigned
Sep 12, 2007
Last updated
Mar 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A31299 CA Primary
Psychologist 103T00000X

Addresses

Primary practice location

120 N Auburn St Ste 115
Grass Valley, CA 95945-6277

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900

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
I20121018000525 CA Practitioner - Neurosurgery 3678723103 Reassigns benefits to 1 organization
Practice locations: Grass Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

120 N Auburn St
Suite 115
Grass Valley, CA 95945-6277
Phone (855) 501-1004

1590 Drew Ave
Suite 200
Davis, CA 95618-7848
Phone (530) 297-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31299CAMDMarriage & Family Therapist
A31299CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark David Levine M.D. Professional Corporation Psychologist Current Accepting new patients
Mark David Levine, MD Burlingame PC CurrentSince Jul 29, 2012 Accepting new patients
Mark David Levine, MD Folsom PC CurrentSince Jul 29, 2012 Accepting new patients
Mark David Levinem MD Sunnyvale PC Past Accepting new patients

Locations

5080 California Ave
Ste 460
Bakersfield, CA 93309

1590 Drew Ave
Ste 200
Davis, CA 95618
Phone (530) 297-7500

5100 N 6th St
Ste 135
Fresno, CA 93710
Phone (559) 490-2067

7780 N Fresno St
Ste 105
Fresno, CA 93720
Phone (559) 431-9701

120 N Auburn St
Ste 115
Grass Valley, CA 95945
Phone (530) 272-7856

3501 Coffee Rd
Ste 7
Modesto, CA 95355
Phone (209) 676-3069

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

999 Baker Way
Ste 420
San Mateo, CA 94404
Phone (650) 571-9652

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1508051459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954",
            "telephone_number": "916-576-7900",
            "fax_number": "916-285-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N AUBURN ST STE 115",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456277",
            "telephone_number": "916-576-7916",
            "fax_number": "530-615-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIL",
        "first_name": "MERVIN",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A31299",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.