Keith A. Corl, MD
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Folsom, CA
NPI 1124243134 · NPPES record last updated Oct 9, 2025
Key facts
- NPI
- 1124243134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- C174320 (CA)
- Practice address
- 1700 Prairie City Rd
Folsom, CA 95630-9594 - Phone
- (916) 351-4800
- Fax
- (916) 351-4899
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 19
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Warren Alpert Medical School of Brown University, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - California
Cep America - Intensivists PC
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
- Sutter Davis Hospital
- Sutter Medical Center, Sacramento
- Samaritan Albany General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in RI, MA, CA, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140815000179 | RI | Practitioner - Emergency Medicine |
7214129154 | Reassigns benefits to 1 organization |
| I20180219000462 | MA | Practitioner - Emergency Medicine |
7214129154 | Reassigns benefits to 3 organizations |
| I20220607002758 | CA | Practitioner - Emergency Medicine |
7214129154 | Reassigns benefits to 3 organizations |
| I20241226000097 | OR | Practitioner - Emergency Medicine | 7214129154 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C174320 | CA | MD | Emergency Medicine Physician |
| MD218016 | OR | MD | Emergency Medicine Physician |
| 2501 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany General Hospital | Current | Accepting new patients | |
| Incare LLC | Current |
Accepting new patients | |
| Steward Emergency Physicians, Inc | Emergency Medicine | Current |
Accepting new patients |
| Grande Ronde Hospital, Inc. | Current |
Accepting new patients | |
| Cep America - Intensivists PC | Critical Care Medicine | Current |
Accepting new patients |
| Cep America - Intensivists PC | Critical Care Medicine | Current |
Accepting new patients |
| Cep America - California | Emergency Medicine | Current |
Accepting new patients |
| Grande Ronde Hospital, Inc. | Family Medicine | Current |
Accepting new patients |
| Mid-Valley Healthcare Inc | Current | Accepting new patients | |
| Inpatient Specialists of California, PC | Family Medicine | Current |
Accepting new patients |
| Cep America-California | Emergency Medicine | Current |
Accepting new patients |
| Cep America - Intensivists PC | Critical Care Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | 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) 851-7423
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
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
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
- kcorl328102@samhealth.direct-ci.com
- kcorl627211@hisp.ehr.sutterhealth.org
- https://fhir4.healow.com/fhir/r4/CFFBDD
- kcorl47016@direct.southcoast.org
- https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
- keith.corl@xdr.hhchealthdirect.org
- kcorl3660141@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C174320 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | C174320 | CA | Yes |
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kcorl328102@samhealth.direct-ci.com |
Other providers in Folsom, CA
- Jazzminique M Cooper
- Morgan C Coppin
- Rebekah Dawn Corbin
- Alicia Littlejohn Cordeiro
- Justine Renee Cordy
- Ana Corona
- Corrections and Rehabilitation-Headquarters
- Maisha Michelle Correia
- Corrina Pochini Marriage and Family Therapy, Inc.
- Costco Wholesale
All providers in Folsom, CA · Critical Care Medicine (Internal Medicine) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.