NPIMap

Individual provider Active NPI

Keith A. Corl, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Folsom, CA
National Provider Identifier
1124243134
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
C174320 Issued in CA
Practice address
1700 Prairie City Rd
Folsom, CA 95630-9594
Phone
(916) 351-4800
Fax
(916) 351-4899
NPI assigned
Apr 16, 2007
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C174320 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X C174320 CA Primary
Emergency Medicine Physician 207P00000X MD218016 OR

Addresses

Primary practice location

1700 Prairie City Rd
Folsom, CA 95630-9594

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Other practice location 1

1046 6TH Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcorl328102@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA, CA, OR4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140815000179 RI Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 7214129154 Reassigns benefits to 1 organization
I20180219000462 MA Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 7214129154 Reassigns benefits to 3 organizations
I20220607002758 CA Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 7214129154 Reassigns benefits to 3 organizations
I20241226000097 OR Practitioner - Emergency Medicine 7214129154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Critical Care (Intensivists)
Education
Warren Alpert Medical School of Brown University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians
Cep America - Intensivists PCGroup PAC ID 9032423421, 112 clinicians

Practice addresses (Care Compare)

2000 Sutter PL
Davis, CA 95616-6201
Phone (530) 756-6440

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 887-1230

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C174320CAMDCritical Care Medicine (Internal Medicine) Physician
2501GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Grande Ronde Hospital, Inc. Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Albany General Hospital Current Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Feb 5, 2025 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Feb 5, 2025 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine Current Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Cep America-California Emergency Medicine CurrentSince May 16, 2025 Accepting new patients
Incare LLC CurrentSince Oct 5, 2021 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince May 16, 2025 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Nov 9, 2019 Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Advanced Care Emergency Services, PLLC Emergency Medicine Past Accepting new patients

Locations

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2000 Sutter Pl
Davis, CA 95616
Phone (530) 756-6440

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

70 East St
Methuen, MA 01844
Phone (978) 682-1906

565 Turnpike St
Ste 85
North Andover, MA 01845
Phone (978) 519-4114

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000

900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD
  • Direct secure messaging: kcorl328102@samhealth.direct-ci.com
  • Direct secure messaging: kcorl3660141@wm.providencedirect.org
  • Direct secure messaging: kcorl47016@direct.southcoast.org
  • Direct secure messaging: kcorl627211@hisp.ehr.sutterhealth.org
  • Direct secure messaging: keith.corl@xdr.hhchealthdirect.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1124243134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PRAIRIE CITY RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309594",
            "telephone_number": "916-351-4800",
            "fax_number": "916-351-4899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1046 6TH AVE SW",
            "address_purpose": "LOCATION",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211916",
            "country_code": "US",
            "telephone_number": "541-812-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORL",
        "first_name": "KEITH",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C174320",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "C174320",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD218016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcorl328102@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1046 6TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.