Active NPI
Shawn J Kile, M.D.
- Neurology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A73177
- Practice address
- 2315 Stockton Blvd
Sacramento, CA 95817-2201 - Phone
- (916) 734-3415
- Fax
- (916) 734-6525
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A73177 | CA | Primary |
Addresses
Primary practice location
2315 Stockton Blvd
Sacramento, CA 95817-2201
Mailing address
10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
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
- Neurology
- Education
- University of Texas Medical Branch at Galveston, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2800 L St
Sacramento, CA 95816-5616
3160 Folsom Blvd
Suite 2100
Sacramento, CA 95816-5266
Phone (916) 734-3588
4860 Y St
Sacramento, CA 95817-2307
4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525
Hospital & facility affiliations
- Sutter Medical Center, Sacramento
- University of California Davis Medical Center
- Sutter Roseville Medical Center
- Sutter Auburn Faith Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73177 | CA | MD | Clinical Social Worker |
| A73177 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Neurology | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the University of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients |
Locations
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
100 N Wiget Ln
Ste 150
Walnut Creek, CA 94598
Phone (855) 420-2612
Interoperability endpoints
- skilemd13864@hisp.ehr.sutterhealth.org
Organizations & group practices 4
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.
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Nephrology Physician
- Sacramento, CA
- NPI 1710970736
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
-
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1831170844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD",
"address_2": "SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "916-734-3415",
"fax_number": "916-734-6525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILE",
"first_name": "SHAWN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A73177",
"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 Jul 27, 2015; 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.