Active NPI
Kenny K. Charn, M.D.
- Cardiovascular Disease Physician
- Jackson, CA
National Provider Identifier
1083715254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G68975
- Practice address
- 201 Clinton Rd
Suite 105
Jackson, CA 95642-2648 - Phone
- (209) 223-1194
- Fax
- (209) 223-1196
- NPI assigned
- Sep 26, 2006
- Last updated
- Jun 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G68975 | CA | Primary |
Addresses
Primary practice location
201 Clinton Rd
Suite 105
Jackson, CA 95642-2648
Mailing address
PO Box 5406
El Dorado Hills, CA 95762-0008
Phone (209) 223-1194
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081031000190 | CA | Practitioner - Cardiovascular Disease (Cardiology) | 3173682481 | Practice locations: Jackson, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
201 Clinton Rd
Suite 105
Jackson, CA 95642-2678
Phone (209) 223-1194
Hospital & facility affiliations
- United Home Care of Northern California
- Sutter Amador Hospital
- Mercy General Hospital
- Mark Twain Medical Center
- Sutter Medical Center, Sacramento
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.44 of 100
- Quality
- 80.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 60.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68975 | CA | MD | Pharmacist |
| G68975 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients | |
| Port City Operating Company, LLC | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients |
Interoperability endpoints
- kcharn22539@hisp.ehr.sutterhealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Joseph's Medical Center of Stockton
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- San Andreas, CA
- NPI 1508968819
-
dba Sutter Amador Hospital
- General Acute Care Hospital
- Jackson, CA
- NPI 1447494323
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
-
dba Amador Home Health
- Home Health Agency
- Jackson, CA
- NPI 1174520027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1083715254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5406",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957620008",
"telephone_number": "209-223-1194",
"fax_number": "209-223-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CLINTON RD",
"address_2": "SUITE 105",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422648",
"telephone_number": "209-223-1194",
"fax_number": "209-223-1196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARN",
"first_name": "KENNY",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G68975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.