DR. JEFFRY D CARDNEAU MD
NPI 1174528889
Surgery - Vascular Surgery in San Rafael, CA
About Dr. Jeffry D Cardneau Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFRY D CARDNEAU MD (NPI 1174528889) is an individual vascular surgery provider in San Rafael, California, licensed in California (A77313) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeffry D Cardneau Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeffry Cardneau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN RAFAEL, CA 94903
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeffry Cardneau's NPI number?
The NPI number for Jeffry Cardneau is 1174528889. It was assigned to this individual provider in the NPPES registry on June 17, 2005.
Where is Jeffry Cardneau located?
Jeffry Cardneau practices at 99 Montecillo Rd Mob 1, 2nd Floor, Department Of Surgery, San Rafael, CA 94903. The listed phone number is (415) 444-3131.
What is Jeffry Cardneau's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Jeffry Cardneau enrolled in Medicare?
Yes. Jeffry Cardneau is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeffry Cardneau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffry Cardneau reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffry Cardneau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeffry Cardneau was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jeffry D Cardneau, MD · NPI 1174528889
Vascular Surgery physician in San Rafael, California. Individual provider, active in the CMS NPPES registry since June 17, 2005.
## Identity
- **NPI:** 1174528889 (Entity type: Individual)
- **Enumerated:** June 17, 2005
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** A77313 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 99 MONTECILLO RD, MOB 1, 2ND FLOOR, DEPARTMENT OF SURGERY, San Rafael, CA 94903-3308
- **Phone:** (415) 444-3131
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174528889) · Data from the CMS NPPES public registry.