KEVIN GARDNER
NPI 1407242373
Emergency Medicine in Oakland, CA
About Kevin Gardner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN GARDNER (NPI 1407242373) is an individual emergency medicine provider in Oakland, California, licensed in California (147618) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in New Haven, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kevin Gardner 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kevin Gardner reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oakland, CA 94602
- Reassigned Medicare billing, California enrollment
- 900 clinicians in this Medicare group
Greenwich, CT 06830
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 clinicians in this Medicare group
Bridgeport, CT 06610
- Reassigned Medicare billing, Connecticut enrollment
- 219 clinicians in this Medicare group
Hamden, CT 06514
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
OAKLAND, CA 94602
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 Kevin Gardner's NPI number?
The NPI number for Kevin Gardner is 1407242373. It was assigned to this individual provider in the NPPES registry on April 8, 2015.
Where is Kevin Gardner located?
Kevin Gardner practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 437-8356.
What is Kevin Gardner's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kevin Gardner enrolled in Medicare?
Yes. Kevin Gardner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kevin Gardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Gardner reassigns Medicare benefits to 4 organizations: Alameda Health System (Oakland, CA), Mill Hill Medical Consultants Inc (Greenwich, CT), Bridgeport Hospital (Bridgeport, CT) and Yale University (Hamden, CT). Each 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 Kevin Gardner'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 Kevin Gardner was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kevin Gardner · NPI 1407242373
Emergency Medicine physician in Oakland, California. Individual provider, active in the CMS NPPES registry since April 8, 2015.
## Identity
- **NPI:** 1407242373 (Entity type: Individual)
- **Enumerated:** April 8, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 147618 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1411 E 31ST ST, Oakland, CA 94602-1018
- **Phone:** (510) 437-8356
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Alameda Health System (NPI 1740332931, Oakland, CA); Mill Hill Medical Consultants Inc (NPI 1396755245, Greenwich, CT); Bridgeport Hospital (NPI 1649260845, Bridgeport, CT); Yale University (NPI 1134391824, Hamden, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1407242373) · Data from the CMS NPPES public registry.