Individual provider Active NPI

Daniel Philip Ikeda, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Sacramento, CA
National Provider Identifier
1730124520
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
G44382 Issued in CA
Practice address
1508 Alhambra Blvd Ste 200
Sacramento, CA 95816-6510
Phone
(916) 325-1040
Fax
(916) 669-4100
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X G44382 CA
Pulmonary Disease Physician 207RP1001X G44382 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G44382 CA Primary

Addresses

Primary practice location

1508 Alhambra Blvd Ste 200
Sacramento, CA 95816-6510

Mailing address

1300 Ethan Way
Suite 600
Sacramento, CA 95285
Phone (916) 679-3590

Other identifiers 1

IdentifierTypeStateIssuer
00443820MedicaidCA

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
I20080515000276 CA Practitioner - Pulmonary DiseasePractitioner - Infectious DiseasePractitioner - Critical Care (Intensivists) 3375612484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Infectious Disease
Education
University of Washington School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Medicine Associates Medical Group Inc.Group PAC ID 4981506730, 93 clinicians

Practice addresses (Care Compare)

1485 River Park Dr
Suite 200
Sacramento, CA 95815-4530
Phone (916) 325-1040

6403 Coyle Ave
Suite 450
Carmichael, CA 95608-0361
Phone (916) 679-3590

Hospital & facility affiliations

  • Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Davis Hospital Hospital, Davis, CA, CCN 050537
  • Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516

Merit-based Incentive Payment System (MIPS)

Final score
98.7 of 100Reported as individual
Quality
86.56
Promoting interoperability
100
Improvement activities
40
Cost
75.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G44382CAMDInfectious Disease Physician
44382CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine Associates Medical Group, Inc Critical Care Medicine CurrentSince Oct 26, 1984 Accepting new patients
Pulmonary Medicine Associates Sleep Lab Inc. Pulmonary Disease CurrentSince Oct 26, 1984 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

6403 Coyle Ave
Ste 450
Carmichael, CA 95608
Phone (916) 482-7621

1508 Alhambra Blvd
Ste 200
Sacramento, CA 95816
Phone (916) 325-1040

1485 River Park Dr
Ste 200
Sacramento, CA 95815
Phone (916) 325-1040

1300 Ethan Way
Ste 600
Sacramento, CA 95825
Phone (916) 482-7623

Interoperability endpoints

  • Direct secure messaging: daniel.ikeda.1@1119.direct.athenahealth.com
  • Direct secure messaging: dikeda33010@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 4

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1730124520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ETHAN WAY",
            "address_2": "SUITE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95285",
            "telephone_number": "916-679-3590",
            "fax_number": "916-482-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 ALHAMBRA BLVD STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166510",
            "telephone_number": "916-325-1040",
            "fax_number": "916-669-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEDA",
        "first_name": "DANIEL",
        "middle_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G44382",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G44382",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G44382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00443820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.