Suzanne L Kilmer, MD

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

G63455 Issued in CA

Practice address

3835 J Street
Sacramento, CA 95816-5520

Phone

(916) 456-0400

Fax

(916) 340-0621

NPI assigned

Sep 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

University of California, Davis School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Laser and Skin Surgery Medical Group IncGroup PAC ID 5597703215, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Laser & Skin Surgery Medical Group Inc

  • Procedural Dermatology Physician
  • Sacramento, CA
  • NPI 1326150913
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1316041965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 J STREET",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165520",
            "telephone_number": "916-456-0400",
            "fax_number": "916-340-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 J STREET",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165520",
            "telephone_number": "916-456-0400",
            "fax_number": "916-340-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILMER",
        "first_name": "SUZANNE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G63455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00G634550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Killa Styles by Kay
• Shawn B. Killam, MD
• Porsche Killian
• Andrew R. Killingsworth, ED.D, LPC-MHSP, NCC
• Cathrin Ann Kilmer, LCSW
• Vanessa Kilpatrick
• Kim Nguyen, Doctor of Psychology, PC
• Kim Pharmacy #3
• Jocelyn Kim-Dunlavey, MD
• Penelope Kim-Lim

• Procedural Dermatology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.

Verify at the official NPI Registry.