Individual provider Active NPI

Robert C Kincade, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Sacramento, CA
National Provider Identifier
1477551638
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A65669 Issued in CA
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

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR0046820MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414000925 CA Practitioner - Cardiac SurgeryPractitioner - Vascular SurgeryPractitioner - Thoracic Surgery 8426042029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery, Vascular 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
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

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 Hospital, Sacramento, CA, CCN 050108
  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498
  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65669CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Nov 1, 2019 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.