Keren Akakpo, PA-C
Individual provider Active NPI Orthopaedic Surgery Physician · Sonora, CA
NPI 1639627938 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1639627938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- PA65189 (CA)
- Practice address
- 680 Guzzi LN Ste 105
Sonora, CA 95370-5288 - Phone
- (209) 532-0126
- NPI assigned
- Sep 14, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sonora Community Hospital
Practice addresses (Care Compare)
900 Greenley Rd
Suite 914
Sonora, CA 95370-5287
Phone (209) 536-5778
Hospital & facility affiliations
- Adventist Health Sonora
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231103001461 | KY | Practitioner - Physician Assistant | 1850748492 | Reassigns benefits to 1 organization |
| I20250106000517 | CA | Practitioner - Physician Assistant | 1850748492 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65189 | CA | MD | Pharmacist |
| PA65189 | CA | MD | Orthopaedic Surgery Physician |
| TC070 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Sonora Community Hospital | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Sonora Community Hospital | Orthopaedic Surgery | Current |
Accepting new patients |
| Sonora Community Hospital | Past | Accepting new patients |
Locations
193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100
900 Greenley Rd
Ste 914
Sonora, CA 95370
Phone (209) 532-6128
12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785
193 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 532-3124
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
680 Guzzi Ln
Ste 105
Sonora, CA 95370
Phone (209) 532-0126
1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | PA65189 | CA | Yes |
Addresses
Primary practice location
680 Guzzi LN Ste 105
Sonora, CA 95370-5288
Mailing address
680 Guzzi LN Ste 105
Sonora, CA 95370-5288
Phone (209) 532-0126
Other providers in Sonora, CA
- Aegis Treatment Centers, LLC
- Affinity Health and Wellness
- Masoud Ahmadzai
- Airell L Nygaard MD Inc
- Aimee Lorain Aitken
- Erica L Albanese
- Heather Albertson
- Lance Nathan Alexander
- Teresa Lynn Alford
- Benjamin M Alger
All providers in Sonora, CA · Orthopaedic Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.