Individual provider Active NPI

Bradley Elliott Chipps, M.D.

  • Allergy Physician
  • Sacramento, CA
National Provider Identifier
1073524740
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
C38640 Issued in CA
Practice address
5609 J Street
Suite C
Sacramento, CA 95819
Phone
(916) 453-8696
Fax
(916) 453-8715
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X C38640 CA Primary

Addresses

Primary practice location

5609 J Street
Suite C
Sacramento, CA 95819

Mailing address

1451 Secret Ravine Pkwy
Suite 150
Roseville, CA 95661-4051
Phone (916) 453-8696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000523 CA Practitioner - Pulmonary DiseasePractitioner - Allergy/Immunology 5597789198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Allergy/Immunology
Education
University of Texas Medical Branch at Galveston, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1451 Secret Ravine Pkwy
Suite 150
Roseville, CA 95661-4051

1451 Secret Ravine Pkwy
Suite 150
Roseville, CA 95661-6052

5609 J St
Suite C
Sacramento, CA 95819-3992

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.57 of 100Reported as individual
Quality
75.92
Promoting interoperability
100
Improvement activities
40
Cost
65.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C38640CAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter North Medical Foundation Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1073524740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 SECRET RAVINE PKWY",
            "address_2": "SUITE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614051",
            "telephone_number": "916-453-8696",
            "fax_number": "916-453-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 J STREET",
            "address_2": "SUITE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95819",
            "telephone_number": "916-453-8696",
            "fax_number": "916-453-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPPS",
        "first_name": "BRADLEY",
        "middle_name": "ELLIOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "C38640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.