Individual provider Active NPI

Mikhail Palatnik, MD

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1558312629
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C51374 Issued in CA
Practice address
5255 Elkhorn Blvd
Sacramento, CA 95842-2506
Phone
(916) 334-1100
Fax
(916) 334-1105
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C51374 CA Primary
General Practice Physician 208D00000X FNP31727 CA

Addresses

Primary practice location

5255 Elkhorn Blvd
Sacramento, CA 95842-2506

Mailing address

701 Howe Ave
Suite C3-C5
Sacramento, CA 95825-4670
Phone (916) 972-1100

Other identifiers 1

IdentifierTypeStateIssuer
G01415MedicaidCA

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
I20040225000549 CA Practitioner - Internal MedicinePractitioner - Infectious Disease 8224922398

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
26.06 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FNP31727CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Life Organization, Inc. Internal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1558312629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HOWE AVE",
            "address_2": "SUITE C3-C5",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254670",
            "telephone_number": "916-972-1100",
            "fax_number": "916-972-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 ELKHORN BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958422506",
            "telephone_number": "916-334-1100",
            "fax_number": "916-334-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALATNIK",
        "first_name": "MIKHAIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51374",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "FNP31727",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G01415",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.