Kevin Kopala Carter, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

A177497 Issued in CA

Practice address

723 Hopkins Ave Unit B
Redwood City, CA 94063-1222

Phone

(720) 935-3776

NPI assigned

Apr 2, 2019

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, OH2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grant Medical Center Hospital, Columbus, OH, CCN 360017
• Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
• Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
• Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
• Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 107)

Interoperability endpoints

• Direct secure messaging: kcarter693938@hisp.ehr.sutterhealth.org

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.

• Sutter Valley Medical Foundation

  dba Sutter Gould Medical Foundation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1669846986
  Medicare reassignment Care Compare group NPD
• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159

  CA

  Medicare reassignment Care Compare group NPD
• Focus Medical Imaging

  • Diagnostic Radiology Physician
  • Monrovia, CA
  • NPI 1528299989
  Medicare reassignment NPD
• Mountain Communities Healthcare District

  dba Trinity Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Weaverville, CA
  • NPI 1407027568
  Medicare reassignment NPD
• Mountain Communities Healthcare District

  dba Trinity Hospital

  • Critical Access Hospital
  • Weaverville, CA
  • NPI 1750462271
  Medicare reassignment NPD
• Mountain Radiology, Inc

  • Diagnostic Radiology Physician
  • Grand Junction, CO
  • NPI 1093823742

  CA

  Medicare reassignment NPD
• Mountain Communities Healthcare District

  dba Trinity Hospital Skilled Nursing Facility

  • Skilled Nursing Facility
  • Weaverville, CA
  • NPI 1154404010
  NPD
• Sutter Valley Medical Foundation

  dba Sutter Regional Medical Foundation

  • Multi-Specialty Clinic/Center
  • Fairfield, CA
  • NPI 1184859894
  NPD
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Tracy, CA
  • NPI 1720930712
  NPD
• Focus Medical Imaging

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1700226933
  NPD (past)
• Imaging Associates of New Mexico LLC

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1629592464
  NPD (past)

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

• Adena Health System

  dba Adena Regional Medical Center

  • General Acute Care Hospital
  • Chillicothe, OH
  • NPI 1902839673
  Care Compare affiliation
• Fairfield Medical Center

  • General Acute Care Hospital
  • Lancaster, OH
  • NPI 1467433763
  Care Compare affiliation
• Mercer County Joint Township Community Hospital

  dba Mercer Health

  • General Acute Care Hospital
  • Coldwater, OH
  • NPI 1497784144
  Care Compare affiliation
• Mercy Health - St Vincent Medical Center LLC

  dba Mercy Health St Vincent Medical Center

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1467493551
  Care Compare affiliation
• Ohiohealth Corporation

  dba Grant Medical Center

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1255377149
  Care Compare affiliation

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1558823393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S RAMPART BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571404",
            "telephone_number": "720-935-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 HOPKINS AVE UNIT B",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631222",
            "telephone_number": "720-935-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KEVIN",
        "middle_name": "KOPALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A177497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Carrara
• Brian McKinley Carson
• Charles Robert Carter, DDS
• Diane Michelle Carter, MD
• Helen Mary Carter, LMFT, M.A., H.DIP.ED
• Charles Joseph Caruana, DDS
• Tamara Carver, NP
• Robert Casillas
• Alexander Caspary-Isar
• Jillian Cassel, PHARMD

• Neuroradiology Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Neuroradiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.