Individual provider Active NPI

Cheryl L Futerman, M.D.

  • Diagnostic Radiology Physician
  • Palo Alto, CA
National Provider Identifier
1699709014
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G61702 Issued in CA
Practice address
400 Channing Ave
Palo Alto, CA 94301-2801
Phone
(650) 323-1343
Fax
(650) 323-1352
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G61702 CA Primary

Addresses

Primary practice location

400 Channing Ave
Palo Alto, CA 94301-2801

Mailing address

400 Channing Ave
Palo Alto, CA 94301-2801
Phone (650) 323-1343

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
I20051013000518 CA Practitioner - Diagnostic Radiology 3678598158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 Burgess Dr
Suite D
Menlo Park, CA 94025-3476
Phone (650) 323-1343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G61702CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Welch Road Imaging Diagnostic Radiology CurrentSince Jan 10, 1983 Accepting new patients

Locations

401 Burgess Dr
Ste D
Menlo Park, CA 94025
Phone (650) 323-1343

1101 Welch Rd
Ste C3
Palo Alto, CA 94304

Organizations & group practices 1

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 7

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1699709014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHANNING AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012801",
            "telephone_number": "650-323-1343",
            "fax_number": "650-323-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHANNING AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012801",
            "telephone_number": "650-323-1343",
            "fax_number": "650-323-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTERMAN",
        "first_name": "CHERYL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G61702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.