Individual provider Active NPI

Jaiwant K Rangi, MD, FACE

  • Internal Medicine Physician
  • Folsom, CA
National Provider Identifier
1902878978
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A92729 Issued in CA
Practice address
1600 Creekside Dr Ste 2700
Folsom, CA 95630-3485
Phone
(530) 677-0700
Fax
(530) 676-7850
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A92729 CA
Internal Medicine Physician 207R00000X A92729 CA Primary

Addresses

Primary practice location

1600 Creekside Dr Ste 2700
Folsom, CA 95630-3485

Mailing address

PO Box 2890
Granite Bay, CA 95746-2890
Phone (530) 677-0700

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
I20051222000354 CA Practitioner - Internal MedicinePractitioner - Endocrinology 0446272181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Wayne State University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1600 Creekside Dr
Suite 2700
Folsom, CA 95630-3485
Phone (530) 677-0700

Hospital & facility affiliations

  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92729CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Endocrinology Inc Internal Medicine CurrentSince Jun 1, 2008 Accepting new patients
Dameron Hospital Association Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Dignity Health Past Accepting new patients
Marshall Medical Center Past Accepting new patients

Locations

3106 Ponte Morino Dr
Ste C
Cameron Park, CA 95682
Phone 53067707000

1600 Creekside Dr
Ste 2700
Folsom, CA 95630
Phone (530) 677-0700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDHFAA/Endpoint/BDHFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDHFAA

Organizations & group practices 5

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1902878978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2890",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957462890",
            "telephone_number": "530-677-0700",
            "fax_number": "530-676-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR STE 2700",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303485",
            "telephone_number": "530-677-0700",
            "fax_number": "530-676-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGI",
        "first_name": "JAIWANT",
        "middle_name": "K",
        "credential": "MD, FACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A92729",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.