Hayne Y Khalil Kelada, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A038374 Issued in CA

Practice address

1000 Camerado Dr
Cameron Park, CA 95682-8864

Phone

(530) 677-3688

Fax

(530) 677-5563

NPI assigned

Sep 8, 2006

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Hayne Y Khalil-Kelada Other name

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

Specialty

Family Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Medical Center Hospital, Placerville, CA, CCN 050254

Merit-based Incentive Payment System (MIPS)

Final score

81.18 of 100Reported as individual

Quality

82.95

Promoting interoperability

68

Improvement activities

40

Cost

80.99

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hkelada5775@hpmg.direct-ci.net

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.

• John Kelada M.D., Inc.

  • Nephrology Physician
  • Cameron Park, CA
  • NPI 1013425495
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marshall Medical Center

  • General Acute Care Hospital
  • Placerville, CA
  • NPI 1972503142
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1417051749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CAMERADO DR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828864",
            "telephone_number": "530-677-3688",
            "fax_number": "530-677-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CAMERADO DR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828864",
            "telephone_number": "530-677-3688",
            "fax_number": "530-677-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL KELADA",
        "first_name": "HAYNE",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A038374",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "00A383740",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "00A383740",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A383740",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD H CARE",
            "identifier": "080022454",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYNE",
            "last_name": "KHALIL-KELADA",
            "middle_name": "Y",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donna Rae Jordan, M.D.
• John Kelada, M.D.
• Shane Kelly
• Deanna Kerr, MSW
• Ruslan Khabatyuk, PA-C
• Jeremiah Khem
• Chloe King, RN
• Alyssa Nicholi Kohler, ASW
• Margaret Lorraine Koler, MFTI
• Diana Kruck

• Family Medicine Physician in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.

Verify at the official NPI Registry.