Individual provider Active NPI

Karan Kamal Bath, M.D.

  • Surgery Physician
  • Southaven, MS
National Provider Identifier
1396909156
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A123894 Issued in CA
Practice address
401 Southcrest Cir Ste 210
Southaven, MS 38671-6721
Phone
(662) 526-1944
Fax
(662) 536-1947
NPI assigned
Jul 10, 2008
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 22711 MS
Surgery Physician 208600000X ME109975 FL
Surgery Physician 208600000X A123894 CA Primary

Addresses

Primary practice location

401 Southcrest Cir Ste 210
Southaven, MS 38671-6721

Mailing address

1321 Cottonwood St Ste 203
Woodland, CA 95695-5131
Phone (530) 668-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MS, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130703000151 CA Practitioner - General Surgery 1052581311 Reassigns benefits to 1 organization
I20130903000284 MS Practitioner - General Surgery 1052581311 Reassigns benefits to 1 organization
I20200622000758 TN Practitioner - General Surgery 1052581311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1321 Cottonwood St
Suite 203
Woodland, CA 95695-5131
Phone (530) 668-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A123894CAMDSurgery Physician
22711MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Sep 16, 2024 Accepting new patients
Baptist Memorial Medical Group Inc Surgery CurrentSince Jun 28, 2020 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jun 28, 2020 Accepting new patients
Dignity Health Medical Foundation CurrentSince Sep 16, 2024 Accepting new patients
Ridgecrest Regional Hospital Surgery Past Accepting new patients

Locations

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

1321 Cottonwood St
Ste 203
Woodland, CA 95695
Phone (530) 666-1631

632 W Gibson Rd
Woodland, CA 95695
Phone (530) 666-1631

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

401 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 772-4000

401 Southcrest Cir
Ste 210
Southaven, MS 38671
Phone (662) 536-1944

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606

1111 Union Ave
Memphis, TN 38104
Phone (901) 448-7433

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1396909156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 COTTONWOOD ST STE 203",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956955131",
            "telephone_number": "530-668-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTHCREST CIR STE 210",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716721",
            "telephone_number": "662-526-1944",
            "fax_number": "662-536-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATH",
        "first_name": "KARAN",
        "middle_name": "KAMAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "22711",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME109975",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A123894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.