Active NPI
Renee Aketch Debose, MD
- Gastroenterology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A91369
- Practice address
- 3000 Q St
Sacramento, CA 95816-7058 - Phone
- (916) 733-3370
- Fax
- (916) 733-3394
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A91369 | CA | |
| Gastroenterology Physician | 207RG0100X | A91369 | CA | Primary |
Addresses
Primary practice location
3000 Q St
Sacramento, CA 95816-7058
Mailing address
3000 Q St
Sacramento, CA 95816-7058
Phone (916) 733-3370
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Ohio State University College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800
1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800
3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319
4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4414
Hospital & facility affiliations
- Mercy General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 98 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 99 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91369 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| E & M Multispecialty Inc | Internal Medicine | Past | Accepting new patients |
| Dignity Community Care | Past | Accepting new patients |
Locations
6555 Coyle Ave
Carmichael, CA 95608
Phone (916) 536-2500
8001 Madison Ave
Citrus Hts, CA 95610
Phone (916) 536-2420
7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950
3400 Data Dr
Fl 1
Rancho Cordova, CA 95670
Phone (916) 379-2726
2110 Professional Dr
Ste 120
Roseville, CA 95661
Phone (916) 536-2500
3000 Q St
Fl 2
Sacramento, CA 95816
Phone (916) 733-3323
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
4400 Duckhorn Dr
Ste 100
Sacramento, CA 95834
Phone (916) 575-8000
8120 Timberlake Way
Ste 109
Sacramento, CA 95823
Phone (916) 681-6000
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
- General Acute Care Hospital
- Folsom, CA
- NPI 1356389878
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
-
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- Multi-Specialty Clinic/Center
- Rancho Cordova, CA
- NPI 1568489268
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1285681874
-
- Rehabilitation Hospital Unit
- San Antonio, TX
- NPI 1134166069
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1780772897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 Q ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958167058",
"telephone_number": "916-733-3370",
"fax_number": "916-733-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 Q ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958167058",
"telephone_number": "916-733-3370",
"fax_number": "916-733-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOSE",
"first_name": "RENEE",
"middle_name": "AKETCH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A91369",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A91369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.