1. Home
  2. Directory
  3. California
  4. Clearlake
  5. Internal Medicine
  6. NPI Profile

DR. KUNDAI KELVIN TANGANYIKA M.D
NPI 1861835811
Internal Medicine - Cardiovascular Disease in Clearlake, CA

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
83.2/100
CMS Quality Rating
15322 LAKESHORE DR STE 201, CLEARLAKE, CA 95422(707) 995-3764(707) 994-1082 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2024, Jul 18, 2022, Sep 13, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Kundai Kelvin Tanganyika M.d NPPES

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

DR. KUNDAI KELVIN TANGANYIKA M.D (NPI 1861835811) is an individual cardiovascular disease provider in Clearlake, California, licensed in California (A183306) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hidden Valley Lake, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2013).

NPPES Registry Identity

NPI1861835811
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. KUNDAI KELVIN TANGANYIKACredential: M.D
Location Address15322 LAKESHORE DR STE 201Clearlake, CA 95422-9815
Mailing Address15322 Lakeshore Dr Ste 201Clearlake, CA 95422-9815 · (707) 995-3764 · Fax (707) 994-1082
Phone(707) 995-3764
Fax(707) 994-1082
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateAugust 13, 20244 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1861835811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in CA · A183306✔ Licensed in CO · DR.0059330✔ Licensed in AZ · 66125
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
15322 LAKESHORE DR STE 201, Clearlake, CA 95422
Open in Google Maps ↗

Secondary Practice Location 1

Location 118990 Coyote Valley Rd Ste 8Hidden Valley Lake, CA 95467-8339 · Phone (707) 995-3764 · Fax (707) 994-1082

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

Dr. Kundai Kelvin Tanganyika 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 ID1557595238
PECOS Enrollment IDI20221227001744
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

2

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

Adventist Health Physicians Network
Same address
Cardiovascular Disease
15322 LAKESHORE DR, SUITE 201
Clearlake, CA 95422
  • Reassigned Medicare billing, California enrollment
  • 678 clinicians in this Medicare group
NPI 1588961676 (707) 995-3764
Adventist Health Clearlake Hospital Inc.
1.1 mi
Critical Access
15630 18TH AVE
Clearlake, CA 95422
  • Reassigned Medicare billing, California enrollment
  • 182 clinicians in this Medicare group
NPI 1124018031 (707) 994-6486

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
299 services287 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
58 services57 patients
Ultrasound of heart during rest, exercise and/or drug-induced stress with report 93350
This procedure involves using ultrasound imaging to view your heart at rest, during exercise, and/or under drug-induced stress. It helps assess how well your heart responds to exertion. A report of the findings is provided after the test.
46 services45 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
44 services43 patients

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
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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.

83.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.73
Promoting Interoperability82
Improvement Activities40
Cost71.28

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%43 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$16.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers22 claims24 services$69.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kundai Tanganyika's NPI number?

The NPI number for Kundai Tanganyika is 1861835811. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Kundai Tanganyika located?

Kundai Tanganyika practices at 15322 Lakeshore Dr Ste 201, Clearlake, CA 95422. The listed phone number is (707) 995-3764.

What is Kundai Tanganyika's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kundai Tanganyika enrolled in Medicare?

Yes. Kundai Tanganyika 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 Kundai Tanganyika's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kundai Tanganyika reassigns Medicare benefits to 2 organizations: Adventist Health Physicians Network (Clearlake, CA) and Adventist Health Clearlake Hospital Inc. (Clearlake, CA). 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 Kundai Tanganyika'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 Kundai Tanganyika was last updated on August 13, 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.