Active NPI
Emmanuel J Papadakis, M.D.
- Interventional Cardiology Physician
- Redding, CA
National Provider Identifier
1710077698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 2012018819
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031113000670 | CA | Practitioner - Cardiovascular Disease (Cardiology) | 8325952476 | Practice locations: Redding, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- 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
- Mercy Medical Center of Mt Shasta
- St Elizabeth Community Hospital
- Fairchild Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.46 of 100
- Quality
- 80.29
- Improvement activities
- 0
- Cost
- 75.48
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 64 |
| Pacemaker insertion or repair | 90 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47908 | CA | MD | Pharmacist |
| T2007-022 | AR | MD | Interventional Cardiology Physician |
| A47908 | CA | MD | Interventional Cardiology Physician |
| 2012018819 | MO | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1376517177
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Red Bluff, CA
- NPI 1083732853
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- Critical Access Hospital
- Mount Shasta, CA
- NPI 1518085430
-
- Critical Access Hospital
- Yreka, CA
- NPI 1093892275
-
- Critical Access Hospital
- Yreka, CA
- NPI 1952701369
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.