THOMAS C KRECK MD
NPI 1457439200
Internal Medicine - Critical Care Medicine in Clearlake, CA

Q: What is Thomas Kreck's NPI number?

The NPI number for Thomas Kreck is 1457439200. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Thomas Kreck's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Kreck was last updated on December 13, 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 November 01, 2006PECOS EnrolledAccepts Medicare Assignment

15630 18TH AVE, CLEARLAKE, CA 95422(707) 994-6486 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2021, Mar 17, 2018 (2 updates tracked since 2018).

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About Thomas C Kreck Md NPPES

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

THOMAS C KRECK MD (NPI 1457439200) is an individual critical care medicine provider in Clearlake, California, licensed in California (G86118) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hayward, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1990).

NPPES Registry Identity

NPI1457439200

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameTHOMAS C KRECKCredential: MD

Location Address15630 18TH AVEClearlake, CA 95422-9336

Mailing AddressPo Box 7096Stockton, CA 95267-0096 · (209) 956-7725 · Fax (209) 956-7733

Phone(707) 994-6486

Sole ProprietorNo

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1990

Enumeration DateNovember 1, 2006

Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration

✔ NPI 1457439200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in CA · G86118

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

15630 18TH AVE, Clearlake, CA 95422

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Secondary Practice Location 1

Location 127400 Hesperian BlvdHayward, CA 94545-4235 · Phone (510) 784-4000

Other Identifiers 1

Medicaid00G861180CA

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

Thomas C Kreck 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 ID6901080415

PECOS Enrollment IDI20110407000438

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.

Medicare Billing Reassignments

Medicare enrollment records show Thomas Kreck reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc

59 mi

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

Lodi Memorial Hospital Association Inc

91 mi

Primary Care

2415 W VINE ST STE 105
Lodi, CA 95242

Reassigned Medicare billing, California enrollment
221 clinicians in this Medicare group

NPI 1306855523 (209) 333-3121

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 95422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KONOCTI EMERGENCY PHYSICIANS

Emergency Medicine