Individual provider Active NPI

David Kramer, M.D.

  • Diagnostic Radiology Physician
  • San Jose, CA
National Provider Identifier
1528084738
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G20106 Issued in CA
Practice address
3031 Tisch Way
Ste 400
San Jose, CA 95128-2541
Phone
(408) 244-2100
Fax
(408) 244-6596
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G20106 CA
Diagnostic Radiology Physician 2085R0202X G20106 CA Primary

Addresses

Primary practice location

3031 Tisch Way
Ste 400
San Jose, CA 95128-2541

Mailing address

3031 Tisch Way
Ste 400
San Jose, CA 95128-2541
Phone (408) 244-2100

Other identifiers 1

IdentifierTypeStateIssuer
00G201060MedicaidCA

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
I20050422000828 CA Practitioner - Diagnostic Radiology 2567411408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1825 Civic Ctr Dr
Suite 1
Santa Clara, CA 95050-7302
Phone (408) 296-5555

665 Munras Ave
Suite 109
Monterey, CA 93940-3136
Phone (831) 656-9800

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G20106CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Valley Radiologist Medical Associates Diagnostic Radiology Past Accepting new patients
Smi Imaging, LLC Diagnostic Radiology Past Accepting new patients
Valley Radiology Medical Associates, Inc. Past Accepting new patients

Locations

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800

325 Sacramento St
#1112
San Francisco, CA 94111
Phone (408) 356-9013

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1528084738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 TISCH WAY",
            "address_2": "STE 400",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282541",
            "telephone_number": "408-244-2100",
            "fax_number": "408-244-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 TISCH WAY",
            "address_2": "STE 400",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282541",
            "telephone_number": "408-244-2100",
            "fax_number": "408-244-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G20106",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G20106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G201060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.