Active NPI
David Gregory Kornguth, M.D.
- Radiation Oncology Physician
- San Francisco, CA
National Provider Identifier
1801820394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- A104635
- Practice address
- 1661 Mission St
San Francisco, CA 94103-2413 - Phone
- (415) 541-0800
- Fax
- (415) 543-2811
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | M1844 | TX | |
| Radiation Oncology Physician | 2085R0001X | A104635 | CA | Primary |
Addresses
Primary practice location
1661 Mission St
San Francisco, CA 94103-2413
Mailing address
1661 Mission St
San Francisco, CA 94103-2413
Phone (415) 541-0800
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090218000415 | CA | Practitioner - Radiation Oncology | 4981609658 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Boston University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Golden Gate Urology IncGenesis Healthcare Partners PC
Practice addresses (Care Compare)
1661 Mission St
San Francisco, CA 94103-2413
Phone (415) 541-0800
2186 Geary Blvd
Suite 320
San Francisco, CA 94115-3457
Phone (415) 749-6900
Hospital & facility affiliations
- California Pacific Medical Center- Van Ness Campus
- California Pacific Medical Center - Mission Bernal
- Contra Costa Regional Medical Center
- Chinese Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A104635 | CA | MD | Radiation Oncology Physician |
| M1844 | TX | MD | Radiation Oncology Physician |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Gate Urology Inc | Radiation Oncology | Current | Accepting new patients |
| Golden Gate Urology Inc | Current | Accepting new patients | |
| San Francisco Urology Med GR | Current | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients |
Locations
Dept LA 23565
Pasadena, CA 91185
Phone (415) 543-2830
2100 Webster St
Ste 222
San Francisco, CA 94115
Phone (415) 202-0250
139 Townsend St
Ste 100
San Francisco, CA 94107
Phone (415) 541-0800
2186 Geary Blvd
Ste 214
San Francisco, CA 94115
Phone (415) 922-3047
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- dkornguth227191@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Urology Physician
- San Francisco, CA
- NPI 1073154654
-
- Urology Physician
- San Francisco, CA
- NPI 1225119704
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Hospital & facility affiliations 4
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": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1801820394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032413",
"telephone_number": "415-541-0800",
"fax_number": "415-543-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032413",
"telephone_number": "415-541-0800",
"fax_number": "415-543-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNGUTH",
"first_name": "DAVID",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2023-07-26",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "M1844",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "A104635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.