Individual provider Active NPI

Patrick Kortebein, MD

  • Physical Medicine & Rehabilitation Physician
  • El Dorado Hills, CA
National Provider Identifier
1568552131
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G199730 Issued in CA
Practice address
4887 Village Green Dr
El Dorado Hills, CA 95762-7676
Phone
(501) 772-6843
NPI assigned
Oct 13, 2006
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X G199730 CA Primary

Addresses

Primary practice location

4887 Village Green Dr
El Dorado Hills, CA 95762-7676

Mailing address

4887 Village Green Dr
El Dorado Hills, CA 95762-7676
Phone (501) 772-6843

Other identifiers 1

IdentifierTypeStateIssuer
152733001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230927002743 MD Practitioner - Physical Medicine and Rehabilitation 5799687299 Reassigns benefits to 1 organization
I20250425001744 CA Practitioner - Physical Medicine and Rehabilitation 5799687299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Washington University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marshall Medical CenterGroup PAC ID 7517875859, shared by 7 NPIs, 168 clinicians

Practice addresses (Care Compare)

2380 E Bidwell St
Folsom, CA 95630-3455
Phone (916) 306-1112

4201 Town Ctr Blvd
El Dorado Hills, CA 95762-7100
Phone (916) 905-6378

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Nerve Diagnostic Center Physical Medicine & Rehabilitation CurrentSince Jun 6, 2025 Accepting new patients
Spine & Nerve Diagnostic Center Physical Medicine & Rehabilitation CurrentSince Jun 6, 2025 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Jun 21, 2023 Accepting new patients
Spine & Nerve Diagnostic Center Physical Medicine & Rehabilitation Current Accepting new patients
Johns Hopkins University Physical Medicine & Rehabilitation CurrentSince Jun 21, 2023 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2380 E Bidwell St
Folsom, CA 95630
Phone (916) 306-1112

1528 Eureka Rd
Ste 103
Roseville, CA 95661
Phone (916) 772-5325

5501 Hopkins Bayview Cir
Baltimore, MD 21224
Phone (410) 550-0545

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: pkortebein1121974@direct.hopkinsmedicine.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1568552131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4887 VILLAGE GREEN DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627676",
            "telephone_number": "501-772-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4887 VILLAGE GREEN DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627676",
            "telephone_number": "501-772-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTEBEIN",
        "first_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G199730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152733001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

Verify at the official NPI Registry.