Individual provider Active NPI

William Ira Feske, MD

  • Diagnostic Radiology Physician
  • Irvine, CA
National Provider Identifier
1689652653
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G73152 Issued in CA
Practice address
3395 Michelson Dr
Apt 3418
Irvine, CA 92612-4438
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jan 9, 2006
Last updated
Aug 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 71313 FL
Diagnostic Radiology Physician 2085R0202X G73152 CA Primary

Addresses

Primary practice location

3395 Michelson Dr
Apt 3418
Irvine, CA 92612-4438

Mailing address

11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

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
I20090127000308 CA Practitioner - Diagnostic RadiologyPractitioner - Emergency Medicine 5092628362 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Imaging Center of Southern CaliforniaGroup PAC ID 2961306469, 7 clinicians

Practice addresses (Care Compare)

2827 Wilshire Blvd
Santa Monica, CA 90403-4801
Phone (310) 829-9788

8727 Beverly Blvd
West Hollywood, CA 90048-1803
Phone (424) 382-1051

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

State licenses

LicenseStateTypeSpecialty
73152CAMDPharmacist
G73152CAMDDiagnostic Radiology Physician
71313FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging Center of Southern California-Beverly Hills, Inc Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Medical Imaging Center of Southern California Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Nov 1, 2018 Accepting new patients
Presgar Imaging of Cmi North LC Diagnostic Radiology PastSince Oct 24, 2021 Accepting new patients
John P Anderson MD Russell M Perry MD and Mark a Sharzer MD a Med CRP Past Accepting new patients
Presgar Imaging of Cmi South LC Past Accepting new patients
Edward a Dauer MD PA Diagnostic Radiology Past Accepting new patients
Arista Imaging of N Miami Past Accepting new patients

Locations

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

2811 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 453-4145

2827 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 453-1489

8727 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 829-9788

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1689652653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3395 MICHELSON DR",
            "address_2": "APT 3418",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926124438",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESKE",
        "first_name": "WILLIAM",
        "middle_name": "IRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "71313",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G73152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.