DR. KURT MINTLOW MD
NPI 1215490073
Student in an Organized Health Care Education/Training Program in Riverside, CA

Q: What is Kurt Mintlow's NPI number?

The NPI number for Kurt Mintlow is 1215490073. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Q: What is Kurt Mintlow's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kurt Mintlow was last updated on November 29, 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.

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment

10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(951) 353-4539 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 29, 2021, Apr 9, 2019 (2 updates tracked since 2019).

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About Dr. Kurt Mintlow Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KURT MINTLOW MD (NPI 1215490073) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215490073

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. KURT MINTLOWCredential: MD

Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043

Mailing Address10800 Magnolia AveRiverside, CA 92505-3043

Phone(951) 353-4539

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 9, 2019

Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration

✔ NPI 1215490073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10800 MAGNOLIA AVE, Riverside, CA 92505

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kurt Mintlow Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486047180

PECOS Enrollment IDI20221003000587

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

KAISER PERMANENTE

General Acute Care Hospital