Individual provider Active NPI

Carla Isabel Docharty, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sacramento, CA
National Provider Identifier
1609978592
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3869 Issued in CA
Practice address
3800 J St
Suite 200
Sacramento, CA 95816-5551
Phone
(916) 453-8900
Fax
(916) 454-4359
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E3869 CA Primary

Addresses

Primary practice location

3800 J St
Suite 200
Sacramento, CA 95816-5551

Mailing address

3800 J St
Suite 200
Sacramento, CA 95816-5551
Phone (916) 453-8900

Other identifiers 3

IdentifierTypeStateIssuer
000E38692MedicaidCA
480015328OtherCAOLD RR PROVIDER #
P00454692OtherCARR INDIVIDUAL PROV. #

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070809000718 CA Practitioner - Podiatry 3476644170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Foot and Ankle, a Podiatry CorporationGroup PAC ID 9032200738, 6 clinicians

Practice addresses (Care Compare)

3800 J St
Suite 200
Sacramento, CA 95816-5551
Phone (916) 453-8900

Hospital & facility affiliations

  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
75.36
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions14
Removal of nail tissue506
Removal or shaving of skin growth286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3869CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Foot & Ankle, a Podiatry Corporation Foot & Ankle Surgery CurrentSince Jun 1, 2007 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Uap Sacramento, PC PastSince Aug 19, 2014 Accepting new patients
Dignity Community Care Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

2575 E Bidwell St
Ste 230
Folsom, CA 95630
Phone (916) 453-8900

5 Medical Plaza Dr
Ste 110
Roseville, CA 95661
Phone (916) 782-3444

3800 J St
Ste 200
Sacramento, CA 95816
Phone (916) 453-8900

Interoperability endpoints

  • Direct secure messaging: cdochartydpm25925@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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 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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1609978592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 J ST",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165551",
            "telephone_number": "916-453-8900",
            "fax_number": "916-454-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 J ST",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165551",
            "telephone_number": "916-453-8900",
            "fax_number": "916-454-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCHARTY",
        "first_name": "CARLA",
        "middle_name": "ISABEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38692",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD RR PROVIDER #",
            "identifier": "480015328",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR INDIVIDUAL PROV. #",
            "identifier": "P00454692",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.