Individual provider Active NPI

Eric Tepper, M.D.

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1891798146
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A77012 Issued in CA
Practice address
5030 J St
Ste 201
Sacramento, CA 95819-3800
Phone
(916) 455-1155
Fax
(916) 455-1195
NPI assigned
May 31, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A77012 CA Primary

Addresses

Primary practice location

5030 J St
Ste 201
Sacramento, CA 95819-3800

Mailing address

5030 J St
Ste 201
Sacramento, CA 95819-3800
Phone (916) 455-1155

Other identifiers 2

IdentifierTypeStateIssuer
A77012OtherCALICENSE
460517131OtherCATAX ID

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
I20070417000676 CA Practitioner - Family Practice 6103921333 Reassigns benefits to 1 organization
Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Hahneman Medical College of the Pacific, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5030 J St
Sacramento, CA 95819-3751
Phone (916) 455-1155

5030 J St
Sacramento, CA 95819-3800
Phone (916) 455-1155

Hospital & facility affiliations

  • Alars Home Health, LLC Home health agency, Sacramento, CA, CCN 059609
  • Ahc Home Health of Sacramento Home health agency, Sacramento, CA, CCN 757092
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions12
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77012CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Tepper, MD Family Medicine CurrentSince Dec 1, 2022 Accepting new patients

Locations

5030 J St
Sacramento, CA 95819
Phone (916) 455-1155

5030 J St
Ste 201
Sacramento, CA 95819
Phone (916) 455-1155

Interoperability endpoints

  • Direct secure messaging: eric.tepper.2@9618.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9618/brand/1/csg/1/fhir/r4
  • Direct secure messaging: eric.tepper.1@9618.direct.athenahealth.com

Organizations & group practices 1

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1891798146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 J ST",
            "address_2": "STE 201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193800",
            "telephone_number": "916-455-1155",
            "fax_number": "916-455-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 J ST",
            "address_2": "STE 201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193800",
            "telephone_number": "916-455-1155",
            "fax_number": "916-455-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPER",
        "first_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A77012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A77012",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "460517131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.