Individual provider Active NPI

Peter S McCauley, MD

  • Nephrology Physician
  • Bakersfield, CA
National Provider Identifier
1629189113
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G761440 Issued in CA
Practice address
3933 Coffee Rd
Suite a
Bakersfield, CA 93308-5024
Phone
(661) 588-9999
Fax
(661) 588-9041
NPI assigned
Aug 31, 2006
Last updated
Aug 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X G76144 CA
Nephrology Physician 207RN0300X G761440 CA Primary

Addresses

Primary practice location

3933 Coffee Rd
Suite a
Bakersfield, CA 93308-5024

Mailing address

PO Box 81447
Bakersfield, CA 93380-1447
Phone (661) 588-9999

Other identifiers 2

IdentifierTypeStateIssuer
00G761440MedicaidCA
P00372503OtherCAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20230607003221 OR Practitioner - Nephrology 1850393760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Loyola University of Chicago, Stritch School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RenasolveGroup PAC ID 2365923208, 7 clinicians
Centennial Medical Group IncGroup PAC ID 6103982962, 60 clinicians

Practice addresses (Care Compare)

201 NW Medical Loop
Suite 170
Roseburg, OR 97471-8835
Phone (503) 998-4125

2460 NW Stewart Pkwy
Roseburg, OR 97471-1516

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 677-2452

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.4 of 100Reported as group
Quality
67.01
Promoting interoperability
99
Improvement activities
40
Cost
78.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G761440CAMDNephrology Physician
G76144CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Medical Group Inc. Hospitalist CurrentSince May 1, 2023 Accepting new patients
Pegasus Dialysis, LLC CurrentSince Jun 9, 2008 Accepting new patients
Sudhir Joshi, M.D., Inc Nephrology Past Accepting new patients
Kern Nephrology Medical Group Nephrology PastSince Apr 1, 2020 Accepting new patients
Valley Medical Group of Kern County, Inc. Past Accepting new patients
Valley Medical Group of Kern County, Inc. Past Accepting new patients

Locations

2460 NW Stewart Pkwy
Ste 102
Roseburg, OR 97471
Phone (541) 464-6258

201 NW Medical Loop
Ste 170
Roseburg, OR 97471
Phone (541) 440-2165

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

Interoperability endpoints

  • Direct secure messaging: pmccauley784680@fhsce.catholichealth.net
  • Direct secure messaging: psm102pcs@m1636.primeclinicalsystems.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1629189113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81447",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933801447",
            "telephone_number": "661-588-9999",
            "fax_number": "661-588-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 COFFEE RD",
            "address_2": "SUITE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085024",
            "telephone_number": "661-588-9999",
            "fax_number": "661-588-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULEY",
        "first_name": "PETER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G76144",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G761440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G761440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00372503",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.