Individual provider Active NPI

Emmanuel J Papadakis, M.D.

  • Interventional Cardiology Physician
  • Redding, CA
National Provider Identifier
1710077698
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2012018819 Issued in MO
Practice address
2175 Rosaline Ave
Redding, CA 96001-2549
Phone
(530) 241-1473
Fax
(530) 232-0157
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A47908 CA
Interventional Cardiology Physician 207RI0011X T2007-022 AR
Interventional Cardiology Physician 207RI0011X 2012018819 MO Primary

Addresses

Primary practice location

2175 Rosaline Ave
Redding, CA 96001-2549

Mailing address

1744 Almaden Dr
Redding, CA 96001-2252
Phone (530) 241-0473

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
I20031113000670 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8325952476 Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2175 Rosaline Ave
Redding, CA 96001-2549
Phone (530) 225-6000

Hospital & facility affiliations

  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Mercy Medical Center of Mt Shasta Hospital, Mount Shasta, CA, CCN 051319
  • St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042
  • Fairchild Medical Center Hospital, Yreka, CA, CCN 051316

Merit-based Incentive Payment System (MIPS)

Final score
64.46 of 100Reported as individual
Quality
80.29
Improvement activities
0
Cost
75.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting64
Pacemaker insertion or repair90

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47908CAMDPharmacist
T2007-022ARMDInterventional Cardiology Physician
A47908CAMDInterventional Cardiology Physician
2012018819MOMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Clinic, PA Past Accepting new patients

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 6

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1710077698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 ALMADEN DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012252",
            "telephone_number": "530-241-0473",
            "fax_number": "530-241-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 ROSALINE AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012549",
            "telephone_number": "530-241-1473",
            "fax_number": "530-232-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPADAKIS",
        "first_name": "EMMANUEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A47908",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "T2007-022",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2012018819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.