NPIMap

Individual provider Active NPI

Ole Dierks, M.D.

  • Nephrology Physician
  • Oakland, CA
National Provider Identifier
1740221514
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A93901 Issued in CA
Practice address
6044 College Ave
Apt. a
Oakland, CA 94618-1373
Phone
(773) 332-8442
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A93901 CA Primary

Addresses

Primary practice location

6044 College Ave
Apt. a
Oakland, CA 94618-1373

Mailing address

6044 College Ave
Apt. a
Oakland, CA 94618-1373
Phone (773) 332-8442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060816000174 CA Practitioner - Nephrology 8325041163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast KidneyGroup PAC ID 1759700149, 56 clinicians

Practice addresses (Care Compare)

388 9TH St
Suite 218
Oakland, CA 94607-4293
Phone (510) 451-0996

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.01
Promoting interoperability
96
Improvement activities
40
Cost
75.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93901CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Bates Summit Medical Center Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Advocate North Side Health Network Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ole.dierks.d1.p72@direct.aac.nextgenshare.com
  • Direct secure messaging: odierks141969@hisp.ehr.sutterhealth.org
  • Direct secure messaging: ole.dierks.1@8243.direct.athenahealth.com

Organizations & group practices 5

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1740221514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 COLLEGE AVE",
            "address_2": "APT. A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181373",
            "telephone_number": "773-332-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 COLLEGE AVE",
            "address_2": "APT. A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181373",
            "telephone_number": "773-332-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERKS",
        "first_name": "OLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A93901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.