Active NPI
Robert C Kincade, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- A65669
- Practice address
- 2800 L St FL 6
Sacramento, CA 95816-5616 - Phone
- (916) 887-4845
- Fax
- (916) 887-4075
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A65669 | CA | Primary |
Addresses
Primary practice location
2800 L St FL 6
Sacramento, CA 95816-5616
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071
Other practice location 1
2800 L St
Ste 260
Sacramento, CA 95816-5616
Phone (916) 452-8291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0046820 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Emory University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2 Medical Plaza Dr
Roseville, CA 95661-3042
2800 L St
Sacramento, CA 95816-5616
2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600
Hospital & facility affiliations
- Sutter Medical Center, Sacramento
- Sutter Auburn Faith Hospital
- Adventist Health and Rideout
- Sutter Roseville Medical Center
- Oroville Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65669 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
685 Twelve Bridges Dr
Ste B
Lincoln, CA 95648
Phone (916) 408-5915
3 Medical Plaza Dr
Ste 130
Roseville, CA 95661
Phone (916) 773-8750
8 Medical Plaza Dr
Ste 300
Roseville, CA 95661
Phone (916) 782-5106
2 Medical Plaza Dr
Ste 130
Roseville, CA 95661
Phone (916) 782-7778
2800 L St
Fl 6
Sacramento, CA 95816
Phone (916) 887-4040
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
2800 L St
Ste 260
Sacramento, CA 95816
Phone (916) 452-8291
Interoperability endpoints
- rkincademd34735@hisp.ehr.sutterhealth.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oroville, CA
- NPI 1871606269
-
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
-
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1477551638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 L ST FL 6",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165616",
"telephone_number": "916-887-4845",
"fax_number": "916-887-4075"
}
],
"practiceLocations": [
{
"address_1": "2800 L ST",
"address_2": "STE 260",
"address_purpose": "LOCATION",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165616",
"country_code": "US",
"telephone_number": "916-452-8291",
"fax_number": "916-452-6841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINCADE",
"first_name": "ROBERT",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "A65669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0046820",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.