Unknown Individual – Internal Medicine Physician, NPI 1245348655
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2637, Shadelands Drive, Shadelands Business Park, Walnut Creek, Contra Costa County, California, 94598, United States
WALNUT CREEK, CA 945982512
Phone: (925) 687-6111
Type: Mailing
100 Cortona Way Ste 160
Brentwood, CA 945137157
Phone: (925) 687-6111
Fax: (925) 687-6652
Type: Location
2339, Almond Avenue, Concord, Contra Costa County, California, 94520, United States
CONCORD, CA 94520
Phone: (925) 687-6111
Fax: (925) 687-6652
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 227 | 120 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 202 | 121 | $0 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 152 | 72 | $0 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 96 | 54 | $0 |
| 82947 | Blood glucose (sugar) level | 70 | 39 | $0 |
Insurance plans in this area (ZIP 94598)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| G A S T R O E N T E R O L O G Y | CA | |
| General Surgery | CA | |
| N E U R O S U R G E R Y | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| P O D I A T R Y | CA | |
| - | CA | |
| E N D O C R I N O L O G Y | KS | |
| Qualified Audiologist | CA |
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