Robertus Hasan Kounang, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A40627 Issued in CA

Practice address

400 N Pepper Ave
212
Colton, CA 92324-1801

Phone

(909) 580-6250

Fax

(909) 580-6369

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Physical Medicine and Rehabilitation

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arden Home Health Home health agency, Glendale, CA, CCN 553110
• Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245
• Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327
• St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129
• Community Hospital of San Bernardino Hospital, San Bernardino, CA, CCN 050089
• Loma Linda University Medical Center Inpatient rehabilitation facility, Loma Linda, CA, CCN 05T327

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Inland Rehabilitation Medical Group, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Colton, CA
  • NPI 1134176225
  Medicare reassignment Authorized official
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)

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

• Community Hospital of San Bernardino

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1235290818
  Care Compare affiliation
• County of San Bernardino

  • General Acute Care Hospital
  • Colton, CA
  • NPI 1720158009
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  Care Compare affiliation
• Favorite Care Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1750755732
  Care Compare affiliation
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  Care Compare affiliation
• Loma Linda University Medical Center

  • Rehabilitation Hospital Unit
  • Loma Linda, CA
  • NPI 1770590036

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1689674582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 PALO ALTO DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737321",
            "telephone_number": "909-793-4585",
            "fax_number": "909-307-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "address_2": "212",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-6250",
            "fax_number": "909-580-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUNANG",
        "first_name": "ROBERTUS",
        "middle_name": "HASAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A40627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A406270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chuck S Kon, D.D.S.
• Sabrina Katrina Koperski
• Thomas Michael Koras, P.A.
• Marie Kouame
• Dalia Koujah
• Allison Marie Kraft, PA-C
• Kris J Storkersen M D Inc
• Lindsey Kristensen, RN
• Michael Scott Kulczycki, D.O.
• Gunjan Kumar, M.D.

• Physical Medicine & Rehabilitation Physician in Colton, CA
• Providers in Colton, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.