Individual provider Active NPI

Jeffrey Shih Kuo, M.D.

  • Body Imaging Physician
  • Sacramento, CA
National Provider Identifier
1366448060
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
A68170 Issued in CA
Practice address
3161 L St
Sacramento, CA 95816-5234
Phone
(916) 453-9999
Fax
(916) 739-1099
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A68170 CA Primary
Neuroradiology Physician 2085N0700X A68170 CA
Nuclear Radiology Physician 2085N0904X A68170 CA
Diagnostic Radiology Physician 2085R0202X A68170 CA
Therapeutic Radiology Physician 2085R0203X A68170 CA
Vascular & Interventional Radiology Physician 2085R0204X A68170 CA
Radiological Physics Physician 2085R0205X A68170 CA
Diagnostic Ultrasound Physician 2085U0001X A68170 CA

Addresses

Primary practice location

3161 L St
Sacramento, CA 95816-5234

Mailing address

10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071

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
I20040714001323 CA Practitioner - Diagnostic Radiology 4183603137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Johns Hopkins University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868

1020 29TH St
Sacramento, CA 95816-5125

1640 E Roseville Pkwy
Suite 9
Roseville, CA 95661-3902
Phone (916) 784-2277

1651 Exposition Blvd
Sacramento, CA 95815-5149
Phone (916) 731-7770

1655 Creekside Dr
Folsom, CA 95630-3489
Phone (916) 984-0739

1661 Creekside Dr
Folsom, CA 95630-3489
Phone (916) 984-0739

1680 E Roseville Pkwy
Suite 100
Roseville, CA 95661-3988
Phone (916) 783-8114

16911 Willow Glen Rd
Brownsville, CA 95919-9707
Phone (530) 675-2457

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500

2 Medical Plaza Dr
Roseville, CA 95661-3042

200 Mission Blvd
Jackson, CA 95642-2564
Phone (916) 733-3777

2261 Douglas Blvd
Roseville, CA 95661-3831
Phone (916) 791-0900

2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600

2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

3133 Professional Dr
Auburn, CA 95603-2463
Phone (530) 885-8821

3161 L St
Sacramento, CA 95816-5234
Phone (916) 453-9999

406 Sunrise Ave
Roseville, CA 95661-4106
Phone (916) 755-7235

440 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3409

444 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3420

470 Plumas Blvd
Suite 201
Yuba City, CA 95991-5077
Phone (530) 741-3358

550 B St
Yuba City, CA 95991-5067
Phone (530) 749-3650

800 E Washington Blvd
Crescent City, CA 95531-8359
Phone (707) 464-8511

8118 Timberlake Way
Sacramento, CA 95823-5400
Phone (916) 681-8852

Hospital & facility affiliations

  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014
  • Sutter Davis Hospital Hospital, Davis, CA, CCN 050537

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68170CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Diagnostic Radiology Current Accepting new patients
Sutter Health Sacramento Sierra Region Past Accepting new patients
Radiological Associates of Sacramento Medical Group Body Imaging Past Accepting new patients
Insight Health Corp Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Clinical Radiologists Medical Imaging PA Diagnostic Radiology Past Accepting new patients
Diagnostic Medical Imaging PA Diagnostic Radiology PastSince Oct 24, 2021 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Banner Pharmacy Services LLC Past Accepting new patients
Elko Diagnostic Imaging LLC Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500

1661 Creekside Dr
Folsom, CA 95630
Phone (916) 984-0739

2 Medical Plaza Dr
Ste 105
Roseville, CA 95661
Phone (916) 797-4700

1640 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 733-1970

2725 Capitol Ave
Ste 104
Sacramento, CA 95816

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2725 Capitol Ave
Ste 106
Sacramento, CA 95816
Phone (916) 262-9301

2 Scripps Dr
Ste 110
Sacramento, CA 95825
Phone (916) 929-3393

Organizations & group practices 12

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 6

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1366448060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 L ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165234",
            "telephone_number": "916-453-9999",
            "fax_number": "916-739-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "JEFFREY",
        "middle_name": "SHIH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A68170",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A68170",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "A68170",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A68170",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "CA",
            "license": "A68170",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A68170",
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "CA",
            "license": "A68170",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "A68170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.