Individual provider Active NPI

James Kelso Gude, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Sebastopol, CA
National Provider Identifier
1235194697
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
00G126260 Issued in CA
Practice address
6800 Palm Ave
Suite K
Sebastopol, CA 95472-4269
Phone
(707) 824-0882
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00G126270 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 00G126260 CA Primary
Pulmonary Disease Physician 207RP1001X 00G126260 CA

Addresses

Primary practice location

6800 Palm Ave
Suite K
Sebastopol, CA 95472-4269

Mailing address

6800 Palm Ave
Suite K
Sebastopol, CA 95472-4269
Phone (707) 824-0882

Other identifiers 1

IdentifierTypeStateIssuer
00G127260MedicaidCA

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
I20060614000257 CA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 7214949130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Yale University School of Medicine, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aretaeus Telemedicine IncGroup PAC ID 6002953635, 17 clinicians

Practice addresses (Care Compare)

1191 Phelps Ave
Coalinga, CA 93210-9609
Phone (559) 935-6400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00G126270CAMDInternal Medicine Physician
00G126260CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Offsite Care, Inc Current Accepting new patients
Willow Brook Critical Care Medical Group, Inc CurrentSince Mar 1, 2020 Accepting new patients
Aretaeus Telemedicine Inc. Critical Care Medicine CurrentSince May 6, 2006 Accepting new patients
North Sonoma County Health Care District Past Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

730 17th St
Modesto, CA 95354
Phone (209) 248-7700

1310 Commerce St
Ste B
Petaluma, CA 94954

2801 Eureka Way
Redding, CA 96001
Phone (530) 246-9000

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

3325 Chanate Rd
Santa Rosa, CA 95404
Phone (707) 576-4000

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

6800 Palm Ave
Ste K
Sebastopol, CA 95472

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

1 Madrone St
Willits, CA 95490
Phone (707) 456-3041

Interoperability endpoints

  • Direct secure messaging: jgude16381@hisp.ehr.sutterhealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1235194697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PALM AVE",
            "address_2": "SUITE K",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724269",
            "telephone_number": "707-824-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PALM AVE",
            "address_2": "SUITE K",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724269",
            "telephone_number": "707-824-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDE",
        "first_name": "JAMES",
        "middle_name": "KELSO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00G126270",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "00G126260",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "00G126260",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G127260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

Verify at the official NPI Registry.