Individual provider Active NPI

John M Kailath, M.D.

  • Hematology & Oncology Physician
  • Carmichael, CA
National Provider Identifier
1619943313
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A038389 Issued in CA
Practice address
6555 Coyle Ave
Ste 301
Carmichael, CA 95608-0303
Phone
(916) 961-0258
NPI assigned
Feb 23, 2006
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A038389 CA Primary

Addresses

Primary practice location

6555 Coyle Ave
Ste 301
Carmichael, CA 95608-0303

Mailing address

6555 Coyle Ave
Ste 301
Carmichael, CA 95608-0303
Phone (916) 961-0258

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
I20090209000041 CA Practitioner - Hematology/Oncology 4385732684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sierra Hematology and Oncology Medical CentersGroup PAC ID 9032102520, 15 clinicians

Practice addresses (Care Compare)

6555 Coyle Ave
Suite 301
Carmichael, CA 95608-0303
Phone (916) 962-1544

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A038389CAMDHematology & Oncology Physician
38389CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Hematology and Oncology Medical Centers Hematology & Oncology CurrentSince Dec 4, 2003 Accepting new patients
Sutter Regional Medical Foundation Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

6555 Coyle Ave
Ste 301
Carmichael, CA 95608
Phone (916) 961-0258

1580 Creekside Dr
Ste 230
Folsom, CA 95630
Phone (916) 984-6230

Interoperability endpoints

  • Direct secure messaging: john.kailath@sierrahemonc.ikm.direct-ci.com

Organizations & group practices 3

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 5

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1619943313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 COYLE AVE",
            "address_2": "STE 301",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080303",
            "telephone_number": "916-961-0258",
            "fax_number": "916-962-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 COYLE AVE",
            "address_2": "STE 301",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080303",
            "telephone_number": "916-961-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAILATH",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A038389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.