NPIMap

Individual provider Active NPI

Donald Gutman, M.D.

  • Internal Medicine Physician
  • Folsom, CA
National Provider Identifier
1396776738
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G032946 Issued in CA
Practice address
1600 Creekside Dr
Ste# 3700
Folsom, CA 95630
Phone
(916) 984-7840
Fax
(916) 983-8511
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G032946 CA Primary

Addresses

Primary practice location

1600 Creekside Dr
Ste# 3700
Folsom, CA 95630

Mailing address

8704 Petite CRK Wy
Roseville, CA 95661
Phone (916) 781-2082

Other identifiers 1

IdentifierTypeStateIssuer
00G329460MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000325 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3375671324 Receives reassigned benefits from 1 practitioner
Practice locations: Folsom, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 Creekside Dr
Folsom, CA 95630-3446
Phone (916) 984-7840

Hospital & facility affiliations

  • American River Home Care Home health agency, Sacramento, CA, CCN 059665
  • Prohealth Home Care, Inc Home health agency, Sacramento, CA, CCN 059764
  • Sanctuary Home Health Home health agency, Sacramento, CA, CCN 757114
  • Northstar Healthcare Services Home health agency, Sacramento, CA, CCN 757243
  • A1 Home Health Home health agency, Fair Oaks, CA, CCN 559234
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254
  • Folsom Care Center Nursing home, Folsom, CA, CCN 055173

Merit-based Incentive Payment System (MIPS)

Final score
18.8 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions25
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G032946CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Dignity Health Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Folsom Care CenterFolsom, CA, CCN 055173 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 10, 1980
Dec 10, 1980

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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 8

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1396776738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 PETITE CRK WY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-781-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR",
            "address_2": "STE# 3700",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-984-7840",
            "fax_number": "916-983-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTMAN",
        "first_name": "DONALD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G032946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G329460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.