NPIMap

Individual provider Active NPI

Paula S. Tremayne, D.O.

  • Internal Medicine Physician
  • Modesto, CA
National Provider Identifier
1740368554
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A8495 Issued in CA
Practice address
817 Coffee Rd
Suite D
Modesto, CA 95355-4241
Phone
(209) 549-1600
Fax
(209) 549-1601
NPI assigned
Nov 1, 2006
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 20A8495 CA
Internal Medicine Physician 207R00000X 20A8495 CA Primary

Addresses

Primary practice location

817 Coffee Rd
Suite D
Modesto, CA 95355-4241

Mailing address

817 Coffee Rd
Suite D
Modesto, CA 95355-4241
Phone (209) 549-1600

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
I20041209000339 CA Practitioner - Internal Medicine 5193781292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

817 Coffee Rd
Suite D
Modesto, CA 95355-4241
Phone (209) 549-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.68 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paula Tremayne, D.O., a Professional Medical Corporation Internal Medicine CurrentSince Nov 4, 2011 Accepting new patients
Hospitalists of Modesto Medical Group Inc Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1600 Sunrise Ave
Ste 16
Modesto, CA 95350
Phone (209) 549-1600

1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063

817 Coffee Rd
Ste D
Modesto, CA 95355
Phone (209) 524-9291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1740368554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COFFEE RD",
            "address_2": "SUITE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554241",
            "telephone_number": "209-549-1600",
            "fax_number": "209-549-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COFFEE RD",
            "address_2": "SUITE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554241",
            "telephone_number": "209-549-1600",
            "fax_number": "209-549-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMAYNE",
        "first_name": "PAULA",
        "middle_name": "S.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A8495",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.