NPIMap

Individual provider Active NPI

Kurt Hermann Hildebrandt, MD

  • Body Imaging Physician
  • San Diego, CA
National Provider Identifier
1770554271
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
A64070 Issued in CA
Practice address
34800 Bob Wilson Dr
Nmcsd, Attn: Medical Staff Services
San Diego, CA 92134-1098
Phone
(619) 532-6460
Fax
(619) 532-6299
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A64070 CA Primary

Addresses

Primary practice location

34800 Bob Wilson Dr
Nmcsd, Attn: Medical Staff Services
San Diego, CA 92134-1098

Mailing address

11716 Fantasia CT
San Diego, CA 92131-3814
Phone (858) 530-2567

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
I20080116000821 CA Practitioner - Diagnostic Radiology 9537249164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians
California Imaging Institute Medical Group IncGroup PAC ID 1951325299, 35 clinicians

Practice addresses (Care Compare)

1827 E Fir Ave
Suite 101
Fresno, CA 93720-3860
Phone (559) 256-1975

1867 E Fir Ave
Suite 101
Fresno, CA 93720-3808
Phone (559) 325-5800

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Adventist Health Tulare Hospital, Tulare, CA, CCN 050784

Merit-based Incentive Payment System (MIPS)

Final score
75.79 of 100Reported as group
Quality
66.31
Improvement activities
40
Cost
74.14

Merit-based Incentive Payment System (MIPS)

Final score
84.42 of 100Reported as group
Quality
71.24
Improvement activities
40
Cost
75.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64070CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
California Imaging Institute Medical Group Inc CurrentSince Jun 1, 2009 Accepting new patients
Advanced Medical Imaging Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

570 N Magnolia Ave
Ste 103
Clovis, CA 93611
Phone (559) 447-4000

729 N Medical Center Dr W
Ste 109
Clovis, CA 93611
Phone (559) 324-6810

1827 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 297-9002

6771 N Palm Ave
Fresno, CA 93704
Phone (559) 451-2203

1867 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 325-5800

6297 N Fresno St
Fresno, CA 93710
Phone (559) 447-4000

1867 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 325-5800

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 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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186012800000",
    "number": "1770554271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11716 FANTASIA CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313814",
            "telephone_number": "858-530-2567",
            "fax_number": "619-532-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "address_2": "NMCSD, ATTN: MEDICAL STAFF SERVICES",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "619-532-6460",
            "fax_number": "619-532-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRANDT",
        "first_name": "KURT",
        "middle_name": "HERMANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A64070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.