Active NPI
Sumit Kohli, M.D.
- Transplant Hepatology Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Hepatology Physician
- License
- A75849
- Practice address
- 34 Mark West Springs Rd FL 2
Santa Rosa, CA 95403-1766 - Phone
- (707) 541-7900
- Fax
- (707) 573-5411
- NPI assigned
- Dec 1, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A758490 | CA | |
| Gastroenterology Physician | 207RG0100X | 649059 | CA | |
| Gastroenterology Physician | 207RG0100X | 016073 | ME | |
| Transplant Hepatology Physician | 207RT0003X | A75849 | CA | Primary |
Addresses
Primary practice location
34 Mark West Springs Rd FL 2
Santa Rosa, CA 95403-1766
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (707) 541-7900
Other practice location 1
1210 Sonoma Ave
Suite B
Santa Rosa, CA 95405
Phone (707) 544-5093
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060459 | Other | ATHEM | |
| 3182394 | Other | AETNA | |
| A75849 | Other | CA | STATE MEDICAL LICENSE |
| P000083083 | Other | RAILROAD MEDICARE |
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 Compare- Specialty
- Gastroenterology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
34 Mark W Springs Rd
FL 2
Santa Rosa, CA 95403-1436
Phone (707) 541-7900
Hospital & facility affiliations
- Sutter Santa Rosa Regional Hospital
- California Pacific Medical Ctr-Davies Campus Hosp
- Sutter Lakeside Hospital
- Providence Santa Rosa Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 368 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 389 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 649059 | CA | MD | Gastroenterology Physician |
| A758490 | CA | MD | Gastroenterology Physician |
| A75849 | CA | MD | Transplant Hepatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Gastroenterology | Current | Accepting new patients |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Santa Rosa Gastroenterology Medical Associates | Gastroenterology | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
#1112
Palo Alto, CA 94301
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
1210 Sonoma Ave
Ste B
Santa Rosa, CA 95405
Phone (707) 544-5093
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
131 Stony Cir
Ste 1600
Santa Rosa, CA 95401
Phone (707) 541-7700
4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360
34 Mark West Springs Rd
Fl 2
Santa Rosa, CA 95403
Phone (707) 541-7900
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- skohli140526@hisp.ehr.sutterhealth.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
Gastroenterology
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Gastroenterology Physician
- Santa Rosa, CA
- NPI 1972683654
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
-
- Critical Access Hospital
- Lakeport, CA
- NPI 1952634008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1366426587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "707-541-7900",
"fax_number": "707-573-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 MARK WEST SPRINGS RD FL 2",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954031766",
"telephone_number": "707-541-7900",
"fax_number": "707-573-5411"
}
],
"practiceLocations": [
{
"address_1": "1210 Sonoma Ave",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "95405",
"country_code": "US",
"telephone_number": "707-544-5093",
"fax_number": "707-528-8444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHLI",
"first_name": "SUMIT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A758490",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "649059",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ME",
"license": "016073",
"primary": false
},
{
"code": "207RT0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Transplant Hepatology",
"state": "CA",
"license": "A75849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHEM",
"identifier": "060459",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3182394",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "A75849",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P000083083",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.