DR. KENNETH VICTOR MISELIS M.D. NPI 1730154592

NPI Information

  • NPI: 1730154592
  • Provider Name: DR. KENNETH VICTOR MISELIS, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 445 W POPLAR ST
    STOCKTON, CA
    ZIP 95203
  • Phone: (209) 465-5933

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NPI Details

DR. Kenneth Victor Miselis, M.D. is a specialist in Stockton, CA with 47 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Kenneth Victor Miselis, M.D. NPI is 1730154592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year:1979

The provider's business location address is:

445 W POPLAR ST
STOCKTON, CA
ZIP 95203-426
Phone: (209) 465-5933
Fax: (209) 465-2562

The NPI 1730154592 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Imaging of optic nerve (HCPCS:92133)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Exam of visual field with extended testing (HCPCS:92083)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Photography of the retina (HCPCS:92250)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • New patient complete exam of visual system (HCPCS:92004)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 2/22/2006 and was last updated on 3/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist00G502810CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A51625MEDICARE UPINCALIFORNIA
2ZZZ28733ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
30761830001OTHERCALIFORNIAMEDICARE DMERC
4180033368OTHERCALIFORNIARAILROAD MEDICARE
5GR0050600MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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