Individual provider Active NPI

Donald Erwin Klug, M.D.

  • Nephrology Physician
  • Roseville, CA
National Provider Identifier
1811923568
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G26922 Issued in CA
Practice address
151 N Sunrise Ave
Suite 1201
Roseville, CA 95661-2924
Phone
(916) 789-2011
Fax
(916) 789-2014
NPI assigned
Jun 24, 2006
Last updated
May 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G26922 CA Primary

Addresses

Primary practice location

151 N Sunrise Ave
Suite 1201
Roseville, CA 95661-2924

Mailing address

151 N Sunrise Ave
Suite 1201
Roseville, CA 95661-2924
Phone (916) 789-2011

Other identifiers 1

IdentifierTypeStateIssuer
00G269220MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040128001216 CA Practitioner - Internal MedicinePractitioner - Nephrology 8820991730 Reassigns benefits to 1 organization
Practice locations: Yreka, CA; Susanville, CA
I20221006001588 GA Practitioner - Nephrology 8820991730 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G26922CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arunas Urbonas MD PLLC CurrentSince Sep 26, 2022 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Jan 14, 2023 Accepting new patients
Quantum Healthcare Medical Associates Inc. Past Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

2922 N Oak St
Ste A
Valdosta, GA 31602
Phone (229) 247-1414

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1811923568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "address_2": "SUITE 1201",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612924",
            "telephone_number": "916-789-2011",
            "fax_number": "916-789-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "address_2": "SUITE 1201",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612924",
            "telephone_number": "916-789-2011",
            "fax_number": "916-789-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUG",
        "first_name": "DONALD",
        "middle_name": "ERWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G26922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G269220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.