Individual provider Active NPI

Kriti Gwal, M.D.

  • Pediatric Radiology Physician
  • Sacramento, CA
National Provider Identifier
1750583787
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
A144221 Issued in CA
Practice address
4860 Y St Ste 3100
Sacramento, CA 95817-2307
Phone
(609) 502-5814
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X A144221 CA Primary

Addresses

Primary practice location

4860 Y St Ste 3100
Sacramento, CA 95817-2307

Mailing address

4860 Y St Ste 3100
Sacramento, CA 95817-2307
Phone (609) 502-5814

Other identifiers 1

IdentifierTypeStateIssuer
C7-0003797OtherDEINTERN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL, DE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130905000482 NJ Practitioner - Diagnostic Radiology 0648413997 Reassigns benefits to 1 organization
I20230922000164 FL Practitioner - Diagnostic Radiology 0648413997 Reassigns benefits to 1 organization
I20230928000051 DE Practitioner - Diagnostic Radiology 0648413997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers New Jersey Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Nemours FoundationGroup PAC ID 9537072483, shared by 5 NPIs, 249 clinicians

Practice addresses (Care Compare)

1600 Rockland Rd
Wilmington, DE 19803-3607
Phone (302) 651-4200

6535 Nemours Pkwy
Orlando, FL 32827-7884
Phone (407) 567-4000

Hospital & facility affiliations

  • Nemours Children'S Hospital, Delaware Hospital, Wilmington, DE, CCN 083300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144221CAMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nemours New Jersey Physician Practice, P.C. CurrentSince Sep 1, 2023 Accepting new patients
The Nemours Foundation Current Accepting new patients
The Nemours Foundation CurrentSince Aug 10, 2023 Accepting new patients
The Nemours Foundation CurrentSince Sep 1, 2023 Accepting new patients
The Nemours Foundation CurrentSince Aug 10, 2023 Accepting new patients
The Nemours Foundation Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

2315 Stockton Blvd
#5
Sacramento, CA 95817
Phone (916) 703-3050

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

1600 Rockland Rd
Wilmington, DE 19803

701 N Clayton St
Ste 400
Wilmington, DE 19805
Phone (302) 421-9700

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100

6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000

1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401

Organizations & group practices 9

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 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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1750583787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "609-502-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "609-502-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWAL",
        "first_name": "KRITI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CA",
            "license": "A144221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERN",
            "identifier": "C7-0003797",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.