Individual provider Active NPI

Sina Rashidi Kikanloo

  • Ophthalmology Physician
  • Madison, WI
National Provider Identifier
1124657739
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
83519 Issued in WI
Practice address
306 W Main St Apt 219
Madison, WI 53703-3238
Phone
(209) 277-7300
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 83519 WI Primary

Addresses

Primary practice location

306 W Main St Apt 219
Madison, WI 53703-3238

Mailing address

306 W Main St Apt 219
Madison, WI 53703-3238

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
I20250811002533 CA Practitioner - Ophthalmology 9830596204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Site Sacramento Medical Group Inc.Group PAC ID 1951203504, 7 clinicians

Practice addresses (Care Compare)

4925 J St
Sacramento, CA 95819-3828
Phone 9164528105214

Hospital & facility affiliations

  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83519WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Site Sacramento Medical Group, Inc Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Eye Site Sacramento Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

2160 E Bidwell St
Folsom, CA 95630
Phone (916) 983-9823

4925 J St
Sacramento, CA 95819
Phone (916) 452-8105

Interoperability endpoints

  • Direct secure messaging: srashidikikanloo740559@hisp.ehr.sutterhealth.org
  • Direct secure messaging: srashidikikanloo1089034@direct.unitypoint.org

Organizations & group practices 4

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 1

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1124657739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST APT 219",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST APT 219",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033238",
            "telephone_number": "209-277-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHIDI KIKANLOO",
        "first_name": "SINA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "83519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.