Individual provider Active NPI

Aaryan Nath Koura, MD

  • Surgery Physician
  • Sacramento, CA
National Provider Identifier
1922007152
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00A822480 Issued in CA
Practice address
7501 Hospital Drive
Suite 305
Sacramento, CA 95823-5405
Phone
(916) 423-2116
Fax
(916) 689-1030
NPI assigned
Jul 19, 2005
Reactivated
Aug 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 00A822480 CA Primary
Surgical Critical Care Physician 2086S0102X 00A822480 CA
Trauma Surgery Physician 2086S0127X 00A822480 CA
Vascular Surgery Physician 2086S0129X 00A822480 CA
Surgical Oncology Physician 2086X0206X OOA822480 CA
Colon & Rectal Surgery Physician 208C00000X 00A822480 CA
General Practice Physician 208D00000X 00A822480 CA

Addresses

Primary practice location

7501 Hospital Drive
Suite 305
Sacramento, CA 95823-5405

Mailing address

7501 Hospital Drive
Suite 305
Sacramento, CA 95823-5405
Phone (916) 423-2116

Other identifiers 2

IdentifierTypeStateIssuer
00A822480MedicaidCA
P00038996OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00A822480CAMDSurgery Physician
OOA822480CAMDSurgical Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1922007152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 HOSPITAL DRIVE",
            "address_2": "SUITE 305",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235405",
            "telephone_number": "916-423-2116",
            "fax_number": "916-689-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 HOSPITAL DRIVE",
            "address_2": "SUITE 305",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235405",
            "telephone_number": "916-423-2116",
            "fax_number": "916-689-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURA",
        "first_name": "AARYAN",
        "middle_name": "NATH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-08-30",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "00A822480",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "00A822480",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "00A822480",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "00A822480",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "OOA822480",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "00A822480",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "00A822480",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A822480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00038996",
            "state": "CA"
        }
    ],
    "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 Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.