Active NPI
Adam Jacob Kreitenberg, M.D.
- Rheumatology Physician
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A122216
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB236088 | Other | CA | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18386 Ventura Blvd
Tarzana, CA 91356-4219
Phone (818) 996-4077
Hospital & facility affiliations
- Northridge Hospital Medical Center
- Providence Cedars Sinai Tarzana Medical Center
- UCLA West Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.85 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A122216 | CA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boris D Ratiner, MD, Inc | Rheumatology | Current | 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
- 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.
-
- Rheumatology Physician
- Tarzana, CA
- NPI 1700999117
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- General Acute Care Hospital
- West Hills, CA
- NPI 1801653969
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.