NPIMap

Individual provider Active NPI

Stefan Andrew Unterhalter, M.D.

  • Nephrology Physician
  • Beverly Hills, CA
National Provider Identifier
1619023249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A33152 Issued in CA
Practice address
9001 Wilshire Blvd
Suite 201
Beverly Hills, CA 90211-1838
Phone
(310) 274-2722
Fax
(310) 275-1082
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A33152 CA Primary

Addresses

Primary practice location

9001 Wilshire Blvd
Suite 201
Beverly Hills, CA 90211-1838

Mailing address

9001 Wilshire Blvd
Suite 201
Beverly Hills, CA 90211-1838
Phone (310) 274-2722

Other identifiers 2

IdentifierTypeStateIssuer
110011556OtherMEDICARE RAILROAD
00A331520MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117000220 CA Practitioner - NephrologyPractitioner - Internal Medicine 1557556453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9001 Wilshire Blvd
Suite 201
Beverly Hills, CA 90211-1840

Hospital & facility affiliations

  • Fmcna of Culver City Dialysis facility, Culver City, CA, CCN 052544
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stefan a Unterhalter MD a Medical Corp Nephrology CurrentSince Aug 30, 2010 Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients

Locations

9001 Wilshire Blvd
Ste 201
Beverly Hills, CA 90211
Phone (310) 274-2722

Interoperability endpoints

  • Direct secure messaging: sunterhalter103928@direct.cshs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619023249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD",
            "address_2": "SUITE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111838",
            "telephone_number": "310-274-2722",
            "fax_number": "310-275-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD",
            "address_2": "SUITE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111838",
            "telephone_number": "310-274-2722",
            "fax_number": "310-275-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTERHALTER",
        "first_name": "STEFAN",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A33152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110011556",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A331520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.