NPIMap

Individual provider Active NPI

Hemant S Kudrimoti, MD PHD

  • Neurology Physician
  • Folsom, CA
National Provider Identifier
1407809304
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
32763 Issued in CA
Practice address
1561 Creekside Dr Ste 170
Folsom, CA 95630-3495
Phone
(916) 351-4825
Fax
(916) 984-2055
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 32763 AZ
Neurology Physician 2084N0400X 32763 CA Primary

Addresses

Primary practice location

1561 Creekside Dr Ste 170
Folsom, CA 95630-3495

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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
I20160610001481 CA Practitioner - Neurology 7719967405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

6555 Coyle Ave
Suite 390
Carmichael, CA 95608-0302
Phone (916) 536-3540

Hospital & facility affiliations

  • Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516
  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
  • Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414
  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32763AZMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jan 2, 2018 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jan 2, 2018 Accepting new patients
Banner Pharmacy Services LLC Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Carondelet Health Network Past Accepting new patients
Yuma Regional Medical Center Past Accepting new patients
Northwestern Memorial Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Northwestern Memorial Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Carondelet Health Network Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
University Physicians Healthcare Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

6555 Coyle Ave
Ste 390
Carmichael, CA 95608
Phone (916) 536-2596

6555 Coyle Ave
Ste 380
Carmichael, CA 95608
Phone (916) 536-3600

1561 Creekside Dr
Ste 170
Folsom, CA 95630
Phone (916) 351-4825

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

550 W Ranch View Dr
Ste 3000
Rocklin, CA 95765
Phone (916) 409-1400

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

3000 Q St
Fl 4
Sacramento, CA 95816
Phone (916) 733-5700

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1407809304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 CREEKSIDE DR STE 170",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303495",
            "telephone_number": "916-351-4825",
            "fax_number": "916-984-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDRIMOTI",
        "first_name": "HEMANT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "32763",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "32763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.