Kevin J Prendiville, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G45074 Issued in CA

Practice address

11 Cobalt Dr
Dana Point, CA 92629-5906

Phone

(949) 388-9718

Fax

(949) 388-9215

NPI assigned

Feb 2, 2006

Last updated

Apr 30, 2010By 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

Ophthalmology

Education

Medical College of Wisconsin, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Eye Institute a Medical Group IncGroup PAC ID 7911966122, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
• Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Merit-based Incentive Payment System (MIPS)

Final score

80.15 of 100Reported as group

Quality

76.08

Promoting interoperability

72

Improvement activities

40

Cost

75.13

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.prendiville.p27@direct.monarchhealthcare.nextgenshare.com
• Direct secure messaging: kprendiville@pacificeyelaser.intellechartdirect.net

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.

• Pacific Eye Institute, a Medical Group, Inc.

  • Ophthalmology Physician
  • Upland, CA
  • NPI 1962422709
  Medicare reassignment Care Compare group NPD
• Emergency Associates Corporation

  • Emergency Medicine Physician
  • Rancho Mirage, CA
  • NPI 1003866120
  Medicare reassignment NPD
• South Coast Eye Care Centers a Comp Ophthalmology Medical GRP Inc.

  • Ophthalmology Physician
  • Laguna Hills, CA
  • NPI 1063459725
  Medicare reassignment NPD
• Prendiville Properties, Inc.

  • Ophthalmology Physician
  • Dana Point, CA
  • NPI 1972911097
  Authorized official Same address or phone
• Pacific Eye Institute a Medical Group Inc

  • Ambulatory Surgical Clinic/Center
  • Upland, CA
  • NPI 1407932619
  NPD
• Mission Hospital Regional Medical Center

  dba Providence Mission Hospital

  • Rehabilitation Hospital
  • Mission Viejo, CA
  • NPI 1003956913
  NPD (past)
• Diagnostic Imaging Services

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Metairie, LA
  • NPI 1699793166
  NPD (past)

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

• Desert Regional Medical Center, Inc.

  dba Desert Regional Medical Center

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1104856095
  Care Compare affiliation
• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  Care Compare affiliation

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1588636765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COBALT DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926295906",
            "telephone_number": "949-388-9718",
            "fax_number": "949-388-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COBALT DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926295906",
            "telephone_number": "949-388-9718",
            "fax_number": "949-388-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENDIVILLE",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G45074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen E Pituck, M.D.
• Jean Derek Potvin, D.C.
• Bradley B Powell, DC
• Gabrielle Powers, L.C.S.W
• Prendiville Properties, Inc.
• Preventativerx
• Products for Recovery Management Group LLC
• Products for Recovery Management Group, LLC
• Helene Ann Pulnik, ND
• Auranate Pungprapunpong, PHARM D.

• Ophthalmology Physician in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.