Dr Larry I Emdur, DO, PHD - Medicare Critical Care (intensivists) in San Diego, CA

Dr Larry I Emdur, DO, PHD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in San Diego, California. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Knd Development 59 Llc and his current practice location is 6719 Alvarado Rd, #108, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 286-8803.

Dr Larry I Emdur is licensed to practice in California (license number 20A4940) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932109642.

Contact Information

Dr Larry I Emdur, DO, PHD
6719 Alvarado Rd, #108,
San Diego, CA 92120-5270
(619) 286-8803
(619) 286-2344



Physician's Profile

Full NameDr Larry I Emdur
GenderMale
SpecialityCritical Care (intensivists)
Experience46 Years
Location6719 Alvarado Rd, San Diego, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Larry I Emdur attended and graduated from Michigan State University College Of Osteopathic Medicine in 1978
  NPI Data:
  • NPI Number: 1932109642
  • Provider Enumeration Date: 07/22/2005
  • Last Update Date: 06/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9537138607
  • Enrollment ID: I20111219000372

Medical Identifiers

Medical identifiers for Dr Larry I Emdur such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932109642NPI-NPPES
ZZZ39696ZOtherCABLUE CROSS
00AX4940OtherCAMEDI-CAL
20A4940OtherCALICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 20A4940 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Larry I Emdur allows following entities to bill medicare on his behalf.
Entity NameLarry I Emdur Do Phd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326189671
PECOS PAC ID: 4880660141
Enrollment ID: O20040908000619

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Entity NameAcute Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841387214
PECOS PAC ID: 8628027547
Enrollment ID: O20050118001038

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Entity NameKnd Development 59 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740519081
PECOS PAC ID: 3678602802
Enrollment ID: O20100724000249

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Larry I Emdur is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Larry I Emdur, DO, PHD
6699 Alvarado Rd, Ste 2309,
San Diego, CA 92120-5241

Ph: (619) 698-3004
Dr Larry I Emdur, DO, PHD
6719 Alvarado Rd, #108,
San Diego, CA 92120-5270

Ph: (619) 286-8803

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Internal Medicine Doctors in San Diego, CA

Dr. Ramin Motarjemi, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 200 W Arbor Dr, San Diego, CA 92103
Phone: 858-249-2500    Fax: 858-657-8069
Dr. Shweta Warner, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4647 Zion Ave, San Diego, CA 92120
Phone: 619-221-6258    Fax: 619-221-6012
Dr. Matthew James Roosevelt, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4647 Zion Ave, Department Of Hospital Medicine, San Diego, CA 92120
Phone: 619-952-5091    
Dr. Daniel Joseph Desantis, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr., San Diego, CA 92134
Phone: 619-532-7935    
Kris Kumar,
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 200 W Arbor Dr, San Diego, CA 92103
Phone: 800-926-8273    Fax: 888-539-8781
Jedidiah Daniel Bell,
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 200 W Arbor Dr, San Diego, CA 92103
Phone: 619-471-0434    
Dr. Umber Dube, MD PHD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 8899 University Center Lane, Suite 350 Mc 0975, San Diego, CA 92122
Phone: 858-657-1675    

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