JOHN DOWNEY M.D.
NPI 1568693588
Radiology - Diagnostic Radiology in Oakland, CA

Active since August 07, 2009PECOS EnrolledAccepts Medicare Assignment
3600 BROADWAY, OAKLAND, CA 94611(510) 752-1000 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 23, 2026, Dec 15, 2021 (2 updates tracked since 2021).

About John Downey M.d. NPPES

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

JOHN DOWNEY M.D. (NPI 1568693588) is an individual diagnostic radiology provider in Oakland, California, licensed in California (A113314) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2009).

NPPES Registry Identity

NPI1568693588
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOHN DOWNEYCredential: M.D.
Location Address3600 BROADWAYOakland, CA 94611-5730
Mailing Address3600 BroadwayOakland, CA 94611-5730 · (510) 752-1000
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2009
Enumeration DateAugust 7, 2009
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1568693588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A113314
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3600 BROADWAY, Oakland, CA 94611

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

John Downey M.d. 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 ID4688899396
PECOS Enrollment IDI20140711001772
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 Reassignment

Medicare enrollment records show John Downey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
901 NEVIN
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.

Areas of Expertise CMS Part B claims 3

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
36 services34 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
19 services19 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94611 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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.

Internal Medicine
3600 BROADWAY
OAKLAND, CA 94611
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Psychiatry & Neurology (Psychiatry)
3600 BROADWAY
OAKLAND, CA 94611
Respiratory Therapist, Registered
3600 BROADWAY
OAKLAND, CA 94611
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
3600 BROADWAY
OAKLAND, CA 94611
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611

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 John Downey's NPI number?

The NPI number for John Downey is 1568693588. It was assigned to this individual provider in the NPPES registry on August 7, 2009.

Where is John Downey located?

John Downey practices at 3600 Broadway, Oakland, CA 94611. The listed phone number is (510) 752-1000.

What is John Downey's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is John Downey enrolled in Medicare?

Yes. John Downey 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 organization bills Medicare for John Downey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Downey 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 John Downey'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 John Downey was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.