Individual provider Active NPI

Rom Rodney Karin, MD

  • Otolaryngology Physician
  • Los Gatos, CA
National Provider Identifier
1871595223
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G53047 Issued in CA
Practice address
15861 Winchester Blvd
Los Gatos, CA 95030-3306
Phone
(408) 395-6121
Fax
(408) 395-6127
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G53047 CA Primary

Addresses

Primary practice location

15861 Winchester Blvd
Los Gatos, CA 95030-3306

Mailing address

15861 Winchester Blvd
Los Gatos, CA 95030-3306
Phone (408) 395-6121

Other practice location 1

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Other identifiers 1

IdentifierTypeStateIssuer
00G530470MedicaidCA

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
I20080619000782 CA Practitioner - Otolaryngology 3678644549 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Los Gatos, CA

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of California, Geffen School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

2495 Hospital Dr
Suite 460
Mountain View, CA 94040-4172
Phone (408) 871-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G53047CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Jul 8, 2024 Accepting new patients
El Camino Health Medical Group PastSince Jul 8, 2024 Accepting new patients

Locations

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

700 W Parr Ave
Ste A
Los Gatos, CA 95032
Phone (408) 356-3178

15861 Winchester Blvd
Los Gatos, CA 95030
Phone (408) 395-3121

2495 Hospital Dr
Ste 450
Mountain View, CA 94040
Phone (650) 962-4370

2495 Hospital Dr
Ste 460
Mountain View, CA 94040
Phone (650) 962-4370

Interoperability endpoints

  • Direct secure messaging: rkarin178143@icare.elcaminohospital.org

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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 3

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1871595223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15861 WINCHESTER BLVD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950303306",
            "telephone_number": "408-395-6121",
            "fax_number": "408-395-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15861 WINCHESTER BLVD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950303306",
            "telephone_number": "408-395-6121",
            "fax_number": "408-395-6127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943052200",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARIN",
        "first_name": "ROM",
        "middle_name": "RODNEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G53047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G530470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.