Individual provider Active NPI

David Michael Skeehan, D.O.

  • Surgery Physician
  • Roseville, CA
National Provider Identifier
1629289186
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A 10739 Issued in CA
Practice address
584 N Sunrise Ave Ste 100
Roseville, CA 95661-2862
Phone
(916) 250-2596
Fax
(916) 550-5025
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101016113 MI
Surgery Physician 208600000X 20A 10739 CA Primary

Addresses

Primary practice location

584 N Sunrise Ave Ste 100
Roseville, CA 95661-2862

Mailing address

2001 Rattlesnake Rd
Newcastle, CA 95658-9722
Phone (916) 250-2596

Other practice location 1

6620 Coyle Ave Ste 408
Carmichael, CA 95608-6338
Phone (916) 250-2596

Other practice location 2

1625 Creekside Dr Ste 200
Folsom, CA 95630-3819
Phone (916) 250-2596

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
I20090724000516 CA Practitioner - General Surgery 4981757812 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Medical PartnershipGroup PAC ID 7810321858, 18 clinicians

Practice addresses (Care Compare)

584 N Sunrise Ave
Suite 100
Roseville, CA 95661-2862
Phone (916) 250-2596

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy28
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)21
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux14
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A 10739CAMDSurgery Physician
5101016113MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn Medical Center, LLC CurrentSince Dec 20, 2017 Accepting new patients
Sierra Medical Partnership Surgery CurrentSince Nov 12, 2019 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Jan 8, 2016 Accepting new patients
Glenn Medical Center, LLC CurrentSince Dec 20, 2017 Accepting new patients
Sierra Medical Partnership Surgery CurrentSince Nov 12, 2019 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Dignity Health Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
St. Helena Hospital Past Accepting new patients

Locations

275 Grass Valley Hwy
Auburn, CA 95603
Phone (530) 885-0344

6620 Coyle Ave
Ste 408
Carmichael, CA 95608
Phone (916) 250-2596

6555 Coyle Ave
Ste 220
Carmichael, CA 95608
Phone (916) 241-9677

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

1580 Creekside Dr
Ste 130
Folsom, CA 95630
Phone (916) 542-1458

1625 Creekside Dr
Ste 200
Folsom, CA 95630
Phone (916) 250-2596

2001 Rattlesnake Rd
Newcastle, CA 95658
Phone (916) 663-2100

584 N Sunrise Ave
Ste 100
Roseville, CA 95661
Phone (916) 250-2596

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

3939 J St
Ste 330
Sacramento, CA 95819
Phone (916) 290-9003

1133 W Sycamore St
Willows, CA 95988
Phone (530) 934-1800

Interoperability endpoints

  • Direct secure messaging: david.skeehan.1@21842.direct.athenahealth.com
  • Direct secure messaging: dskeehando54702@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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 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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1629289186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 RATTLESNAKE RD",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "956589722",
            "telephone_number": "916-250-2596",
            "fax_number": "916-550-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 N SUNRISE AVE STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612862",
            "telephone_number": "916-250-2596",
            "fax_number": "916-550-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6620 Coyle Ave Ste 408",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956086338",
            "country_code": "US",
            "telephone_number": "916-250-2596",
            "fax_number": "916-550-5025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Creekside Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303819",
            "country_code": "US",
            "telephone_number": "916-250-2596",
            "fax_number": "916-550-5025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKEEHAN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101016113",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A 10739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.