Individual provider Active NPI

Andreas Kamlot, MD

  • Surgery Physician
  • Danville, CA
National Provider Identifier
1720019748
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A69922 Issued in CA
Practice address
1320 El Capitan Dr
Ste 120
Danville, CA 94526-6258
Phone
(925) 676-2600
Fax
(925) 689-3102
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A69922 CA Primary

Addresses

Primary practice location

1320 El Capitan Dr
Ste 120
Danville, CA 94526-6258

Mailing address

1320 El Capitan Dr
Ste 120
Danville, CA 94526-6258
Phone (925) 676-2600

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
I20061122000256 CA Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 6800894072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay Cardiovascular and Thoracic Associates IncGroup PAC ID 9032290770, 17 clinicians

Practice addresses (Care Compare)

4721 Dallas Ranch Rd
Antioch, CA 94531-8811
Phone (925) 676-2600

Hospital & facility affiliations

  • John Muir Home Health Services Home health agency, Concord, CA, CCN 057276
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689
  • Kaiser Foundation Hospital Hospital, Honolulu, HI, CCN 120011

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.12
Promoting interoperability
100
Improvement activities
40
Cost
78.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)22
Pacemaker insertion or repair1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69922CAMDPharmacist
A69922CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Cardiovascular and Thoracic Associates Inc. Surgery CurrentSince Jan 1, 2009 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Sep 8, 2012 Accepting new patients

Locations

4721 Dallas Ranch Rd
Antioch, CA 94531
Phone (925) 676-2600

2485 High School Ave
Ste 312
Concord, CA 94520
Phone (925) 676-2600

1320 El Capitan Dr
Ste 120
Danville, CA 94526
Phone (925) 676-2600

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Interoperability endpoints

  • Direct secure messaging: akamlot18155@ehr.johnmuirhealth.com

Organizations & group practices 3

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 5

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1720019748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 EL CAPITAN DR",
            "address_2": "STE 120",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945266258",
            "telephone_number": "925-676-2600",
            "fax_number": "925-689-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 EL CAPITAN DR",
            "address_2": "STE 120",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945266258",
            "telephone_number": "925-676-2600",
            "fax_number": "925-689-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMLOT",
        "first_name": "ANDREAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A69922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.