Active NPI
Aaryan Nath Koura, MD
- Surgery Physician
- Sacramento, CA
National Provider Identifier
1922007152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 00A822480
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A822480 | Medicaid | CA | |
| P00038996 | Other | CA | RAILROAD 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00A822480 | CA | MD | Surgery Physician |
| OOA822480 | CA | MD | Surgical 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.