Individual provider Active NPI

Konrad NG, M.D.

  • Interventional Pain Medicine Physician
  • San Francisco, CA
National Provider Identifier
1700074549
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A99746 Issued in CA
Practice address
2100 Webster St Ste 314
San Francisco, CA 94115-2377
Phone
(415) 737-0555
Fax
(415) 737-0595
NPI assigned
Oct 5, 2007
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A99746 CA Primary

Addresses

Primary practice location

2100 Webster St Ste 314
San Francisco, CA 94115-2377

Mailing address

2100 Webster St Ste 314
San Francisco, CA 94115-2377
Phone (415) 737-0555

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
I20090506000313 CA Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 5092863738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Tufts University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2100 Webster St
Suite 314
San Francisco, CA 94115-2377
Phone (415) 737-0555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99746CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Konrad H NG, MD Inc. CurrentSince Mar 1, 2020 Accepting new patients
Integrated Pain Management Medical Group, Inc. CurrentSince Sep 2, 2017 Accepting new patients
County of Santa Clara Interventional Pain Medicine Past Accepting new patients
El Camino Hospital Interventional Pain Medicine Past Accepting new patients
Pih Health Good Samaritan Hospital Interventional Pain Medicine Past Accepting new patients
Maryview Hospital LLC Interventional Pain Medicine Past Accepting new patients

Locations

4400 Capitola Rd
Ste 200
Capitola, CA 95010
Phone (408) 364-6799

15047 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 364-6799

1580 Valencia St
Ste 703
San Francisco, CA 94110
Phone (415) 642-0707

2100 Webster St
Ste 314
San Francisco, CA 94115
Phone (415) 737-0555

2410 Merced St
San Leandro, CA 94577
Phone (510) 278-2700

999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950

450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1700074549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 314",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152377",
            "telephone_number": "415-737-0555",
            "fax_number": "415-737-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 314",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152377",
            "telephone_number": "415-737-0555",
            "fax_number": "415-737-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "KONRAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A99746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.