Active NPI
Nikolas Kolja Paech, M.D.
- Emergency Medicine Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A116557
- Practice address
- 640 Jackson St
Department of Emergency Medicine, Regions Hospital
Saint Paul, MN 55101-2502 - Phone
- (612) 501-9048
- NPI assigned
- Jul 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21201 | MN | |
| Emergency Medicine Physician | 207P00000X | A116557 | CA | Primary |
Addresses
Primary practice location
640 Jackson St
Department of Emergency Medicine, Regions Hospital
Saint Paul, MN 55101-2502
Mailing address
640 Jackson St
Department of Emergency Medicine, Regions Hospital
Saint Paul, MN 55101-2502
Phone (612) 501-9048
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21201 | Other | MN | RESIDENCY PERMIT NUMBER |
| A116557 | Other | CA | CALIFORNIA MEDICAL BOARD |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A116557 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Team Acute Care Corporation | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Sierra Rural Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
| Central California Radiology Associates Inc | Past | Accepting new patients | |
| Chino Emergency Medical Associates, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400
3300 Renner Dr
Fortuna, CA 95540
Phone (707) 725-3361
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
1600 Eureka Rd
Roseville, CA 95661
Phone (916) 474-7777
1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000
768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
1801 E March Ln
Ste C300
Stockton, CA 95210
Phone (209) 464-6422
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Interoperability endpoints
- npaechmd91045@hisp.ehr.sutterhealth.org
Organizations & group practices 10
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.
-
dba Community Medical Team Inc
- Emergency Medicine Physician
- San Andreas, CA
- NPI 1366210478
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Emergency Medicine
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
Emergency Medicine
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Diagnostic Radiology Physician
- Visalia, CA
- NPI 1619343050
-
- Emergency Medicine Physician
- Chino, CA
- NPI 1013282029
-
- Emergency Medicine Physician
- Mariposa, CA
- NPI 1699890905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1144483678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE, REGIONS HOSPITAL",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012502",
"telephone_number": "612-501-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE, REGIONS HOSPITAL",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012502",
"telephone_number": "612-501-9048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAECH",
"first_name": "NIKOLAS",
"middle_name": "KOLJA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-03",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "21201",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A116557",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENCY PERMIT NUMBER",
"identifier": "21201",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MEDICAL BOARD",
"identifier": "A116557",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.