NPIMap

Individual provider Active NPI

Richard Kempert, M.D.

  • Family Medicine Physician
  • Dana Point, CA
National Provider Identifier
1861598500
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C37249 Issued in CA
Practice address
34052 La PLZ
Suite 101
Dana Point, CA 92629-2587
Phone
(949) 496-4369
Fax
(949) 496-9365
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C37249 CA Primary

Addresses

Primary practice location

34052 La PLZ
Suite 101
Dana Point, CA 92629-2587

Mailing address

PO Box 3630
Dana Point, CA 92629-8630
Phone (949) 496-4369

Other identifiers 3

IdentifierTypeStateIssuer
W13226BOtherCAMEDICARE GROUP NUMBER
C37249OtherCASTATE LICENSE
ZZZ05180ZOtherCABLUE SHIELD

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
I20120417000227 CA Practitioner - Family Practice 0840200994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Crest Medical Group IncGroup PAC ID 4486540549, 2 clinicians

Practice addresses (Care Compare)

34052 La PLZ
Suite 101
Dana Point, CA 92629-2571
Phone (949) 496-4369

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
100
Improvement activities
40
Cost
29.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C37249CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Private Practice Network Inc Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
MD Solutions Medical Corp Past Accepting new patients

Locations

30230 Rancho Viejo Rd
Ste 110
San Juan Capo, CA 92675
Phone (949) 441-5681

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: richard.kempert.1@16536.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1861598500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3630",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926298630",
            "telephone_number": "949-496-4369",
            "fax_number": "949-496-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34052 LA PLZ",
            "address_2": "SUITE 101",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292587",
            "telephone_number": "949-496-4369",
            "fax_number": "949-496-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPERT",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C37249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W13226B",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C37249",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ05180Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

Verify at the official NPI Registry.