DR. DAVID IAN KLEINERMAN (M.D.) – Urology Physician, NPI 1114996212

DR. DAVID IAN KLEINERMAN (M.D.) is a healthcare provider. based in Rancho cordova, California. specializing in Urology Physician. They hold the professional credentials M.D.. They hold a License No. G083293 (CA). The NPI Number for DR. DAVID IAN KLEINERMAN (M.D.) is 1114996212

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID IAN KLEINERMAN (M.D.)
NPI
1114996212
Phone
Not provided
Address
3400 DATA DR
Enumeration Date
14 March 2006
Last Update Date
3 August 2020

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
5302479623
Graduation Year
1987 (39 years ago)
PAC ID
3870770985
Group Practice PAC ID
7810800661
Professional Enrollment ID
I20200806001596
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DAVID IAN KLEINERMAN (M.D.)

  • 3400, Data Drive, Rancho Cordova, Sacramento County, California, 95670, United States

    ATTN CREDENTIALING/PAYER ENROLLMENT

    RANCHO CORDOVA, CA 956707956

    Phone:

    Type: Mailing

  • 107, Margaret Lane, Spring Hill, Grass Valley, Nevada County, California, 95945, United States

    GRASS VALLEY, CA 959455211

    Phone: (530) 274-9623

    Fax: (530) 274-0590

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-04-03 • Largest payer in this snapshot: ConvaTec Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ConvaTec Inc.$19
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200806001596IUrologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes373298$0
81002Urinalysis, manual test133107$0
99213Established patient office or other outpatient visit, 20-29 minutes8379$0
51702Simple insertion of temporary bladder tube6514$0
52000Diagnostic exam of bladder and urethra using an endoscope6455$0
View full utilization report →

Insurance plans in this area (ZIP 95670)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810800661View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. DAVID IAN KLEINERMAN (M.D.)'s NPI?
Yes. DR. DAVID IAN KLEINERMAN (M.D.) is listed with NPI 1114996212 in the public NPI dataset.
Can I rely on DR. DAVID IAN KLEINERMAN (M.D.) being an active provider?
As of the registry snapshot, DR. DAVID IAN KLEINERMAN (M.D.) is marked active.
What taxonomy line describes DR. DAVID IAN KLEINERMAN (M.D.)?
For research purposes, treat DR. DAVID IAN KLEINERMAN (M.D.) as Urology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. DAVID IAN KLEINERMAN (M.D.) based?
DR. DAVID IAN KLEINERMAN (M.D.) is tied to Rancho Cordova, California in the data we show; additional addresses may exist on the full record.
Is the information about DR. DAVID IAN KLEINERMAN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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