Timothy S Kristedja, MD - Medicare Hematology/oncology in Santa Monica, CA

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Timothy S Kristedja, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Santa Monica, California. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Providence Saint Johns Medical Foundation and his current practice location is 2001 Santa Monica Blvd Ste 560w, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 453-5654.

Timothy S Kristedja is licensed to practice in California (license number A108522) 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 1881897494.

Contact Information

Timothy S Kristedja, MD
2001 Santa Monica Blvd Ste 560w,
Santa Monica, CA 90404-2182
(310) 453-5654
(310) 453-6885

Map and Direction




Physician's Profile

Full NameTimothy S Kristedja
GenderMale
SpecialityHematology/oncology
Experience18 Years
Location2001 Santa Monica Blvd Ste 560w, Santa Monica, 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:
  • Timothy S Kristedja graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1881897494
  • Provider Enumeration Date: 06/09/2007
  • Last Update Date: 01/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840447942
  • Enrollment ID: I20120824000220

Medical Identifiers

Medical identifiers for Timothy S Kristedja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881897494NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology A108522 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Saint John's Health CenterSanta monica, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Saint Johns Medical Foundation0840548624315

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. Timothy S Kristedja allows following entities to bill medicare on his behalf.
Entity NameCounty Of Los Angeles
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851363188
PECOS PAC ID: 1850296534
Enrollment ID: O20031204001218
Entity NameProvidence Saint Johns Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518438712
PECOS PAC ID: 0840548624
Enrollment ID: O20180810000904

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. Timothy S Kristedja 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
Timothy S Kristedja, MD
2477 Walnut Ave,
Venice, CA 90291-5018

Ph: (626) 367-2824		Timothy S Kristedja, MD
2001 Santa Monica Blvd Ste 560w,
Santa Monica, CA 90404-2182

Ph: (310) 453-5654

Reviews and Comments


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Dr. Colleen Lucy Channick, M.D.
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Carol Yukiko Nishikubo, M.D.
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Practice Location: 2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404
Phone: 310-453-5654    Fax: 310-453-6885

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.