Individual provider Active NPI

Adam Jacob Kreitenberg, M.D.

  • Rheumatology Physician
  • Tarzana, CA
National Provider Identifier
1770857682
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A122216 Issued in CA
Practice address
18386 Ventura Blvd
Tarzana, CA 91356-4219
Phone
(818) 996-4077
Fax
(818) 996-4069
NPI assigned
Feb 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A122216 CA Primary

Addresses

Primary practice location

18386 Ventura Blvd
Tarzana, CA 91356-4219

Mailing address

18386 Ventura Blvd
Tarzana, CA 91356-4219
Phone (818) 996-4077

Other identifiers 1

IdentifierTypeStateIssuer
CB236088OtherCAMEDICARE ID

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
I20150708002308 CA Practitioner - RheumatologyPractitioner - Internal Medicine 6901118637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boris D Ratiner, MD, IncGroup PAC ID 3870492887, 6 clinicians

Practice addresses (Care Compare)

18386 Ventura Blvd
Tarzana, CA 91356-4219
Phone (818) 996-4077

Hospital & facility affiliations

  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
  • UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
94.44
Promoting interoperability
89
Improvement activities
40
Cost
57.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122216CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boris D Ratiner, MD, Inc Rheumatology CurrentSince Aug 1, 2015 Accepting new patients

Locations

18376 Clark St
Tarzana, CA 91356
Phone (818) 996-4077

18386 Ventura Blvd
Tarzana, CA 91356
Phone (818) 300-0070

Interoperability endpoints

  • Direct secure messaging: adam.kreitenberg.p1@direct.rtmc.nextgenshare.com

Organizations & group practices 1

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 3

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": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1770857682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18386 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564219",
            "telephone_number": "818-996-4077",
            "fax_number": "818-996-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18386 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564219",
            "telephone_number": "818-996-4077",
            "fax_number": "818-996-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREITENBERG",
        "first_name": "ADAM",
        "middle_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-24",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A122216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB236088",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.