Individual provider Active NPI

Brian J Kaminski, MD

  • Emergency Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1750385100
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35084746 Issued in OH
Practice address
400 Pike St Apt 609
Cincinnati, OH 45202-4216
Phone
(415) 999-3891
NPI assigned
Jun 13, 2005
Last updated
Sep 25, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35084746 OH Primary

Addresses

Primary practice location

400 Pike St Apt 609
Cincinnati, OH 45202-4216

Mailing address

400 Pike St Apt 609
Cincinnati, OH 45202-4216
Phone (415) 999-3891

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
I20071129000280 CA Practitioner - Emergency Medicine 6901870369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Duke University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pleasanton Emergency Medical GroupGroup PAC ID 0143118927, 38 clinicians

Practice addresses (Care Compare)

5555 W Las Positas Blvd
Pleasanton, CA 94588-4000
Phone (925) 416-3418

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.7 of 100Reported as group
Quality
57.11
Promoting interoperability
100
Improvement activities
40
Cost
73.85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasanton Emergency Medical Group Emergency Medicine CurrentSince Dec 20, 2011 Accepting new patients
Qualified Emergency Specialists Inc Emergency Medicine Past Accepting new patients
Eden Emergency Medical Group Inc Emergency Medicine PastSince Feb 16, 2020 Accepting new patients

Locations

4000 Dublin Blvd
Ste 150
Dublin, CA 94568
Phone (813) 732-7842

1111 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4018

1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

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

Hospital & facility affiliations 1

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1750385100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PIKE ST APT 609",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452024216",
            "telephone_number": "415-999-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PIKE ST APT 609",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452024216",
            "telephone_number": "415-999-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35084746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.