DR. MICHAEL KEMMER M.D.
NPI 1790105336
General Practice in Los Angeles, CA

Q: What is Michael Kemmer's NPI number?

The NPI number for Michael Kemmer is 1790105336. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Q: What is Michael Kemmer's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Kemmer was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 22, 2014PECOS Enrolled

4425 S CENTRAL AVE, LOS ANGELES, CA 90011(323) 908-4200 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Michael Kemmer M.d. NPPES

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

DR. MICHAEL KEMMER M.D. (NPI 1790105336) is an individual general practice provider in Los Angeles, California, licensed in California (A146304) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790105336

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. MICHAEL KEMMERCredential: M.D.

Location Address4425 S CENTRAL AVELos Angeles, CA 90011-3629

Mailing Address10959 Rochester Ave Apt 402, Apt 402Los Angeles, CA 90024-7717 · (617) 680-9579

Phone(323) 908-4200

Sole ProprietorYes

Enumeration DateApril 22, 2014

Last NPPES UpdateMay 3, 2017

✔ NPI 1790105336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A146304

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4425 S CENTRAL AVE, Los Angeles, CA 90011

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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 (PECOS)

Dr. Michael Kemmer M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers13 claims25 services$5.56 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers17 claims17 services$29.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LYANNE DAISY DUARTE FNP-BC

Nurse Practitioner (Family)