John Kelada, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A125118 Issued in CA

Practice address

1000 Camerado Dr
Cameron Park, CA 95682-8864

Phone

(530) 677-3688

Fax

(530) 677-5563

NPI assigned

Jun 28, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

NephrologyAlso: Internal Medicine

Education

Pennsylvania State University College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Medical Center Hospital, Placerville, CA, CCN 050254
• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Merit-based Incentive Payment System (MIPS)

Final score

77.96 of 100Reported as individual

Quality

81.29

Promoting interoperability

67

Improvement activities

40

Cost

72.75

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkelada125201@hpmg.direct-ci.net

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Mervat Kelada M D a Medical Corporation

  • Rural Health Clinic/Center
  • Calexico, CA
  • NPI 1356524599

  5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• John Kelada M.D., Inc.

  • Nephrology Physician
  • Cameron Park, CA
  • NPI 1013425495

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Mervat Kelada M D a Medical Corporation

  • Family Medicine Physician
  • Imperial, CA
  • NPI 1538202726

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marshall Medical Center

  • General Acute Care Hospital
  • Placerville, CA
  • NPI 1972503142
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1861703530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956820455",
            "telephone_number": "530-677-3688",
            "fax_number": "530-677-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CAMERADO DR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828864",
            "telephone_number": "530-677-3688",
            "fax_number": "530-677-5563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 E Barioni Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Imperial",
            "state": "CA",
            "postal_code": "922511620",
            "country_code": "US",
            "telephone_number": "760-235-5943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Blair Ave",
            "address_purpose": "LOCATION",
            "city": "Calexico",
            "state": "CA",
            "postal_code": "922312308",
            "country_code": "US",
            "telephone_number": "760-235-5943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELADA",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A125118",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A125118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ying Jin, RPH
• John E. Roe, PH.D., a Professional Corporation
• John Kelada M.D., Inc.
• Robyn Jones, IBCLC
• Donna Rae Jordan, M.D.
• Shane Kelly
• Deanna Kerr, MSW
• Ruslan Khabatyuk, PA-C
• Hayne Y Khalil Kelada, MD
• Jeremiah Khem

• Nephrology Physician in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.