Kathryn Carolin Amirikia, MD, FACS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G86919 Issued in CA

Practice address

1737 Creekside Dr
Folsom, CA 95630

Phone

(916) 932-0315

Fax

(916) 932-0312

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Dr. Kathryn Alice Carolin Former name

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

Specialty

General Surgery

Education

Wayne State University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kathryn C Amirikia MD Inc

  • Surgery Physician
  • Sacramento, CA
  • NPI 1902133093

  CA

  Medicare reassignment Authorized official
• Regents of the Univ of Ca

  • Maternal & Fetal Medicine Physician
  • Sacramento, CA
  • NPI 1013906973

  CA

  Medicare reassignment NPD
• Kathryn C Amirikia, MD, Inc

  • Surgery Physician
  • Sacramento, CA
  • NPI 1427166958

  Surgery

  NPD (past) Authorized official
• Regents of the Univ of Ca

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1477546406
  NPD
• Regents of the Univ of Ca

  • Surgical Oncology Physician
  • Sacramento, CA
  • NPI 1801889068

  Surgical Oncology

  NPD
• Central California Faculty Medical Group, Inc.

  • Internal Medicine Physician
  • Clovis, CA
  • NPI 1992742852
  NPD (past)
• Peninsula Surgical Specialist Medical Group, Inc.

  • Surgical Technologist
  • Burlingame, CA
  • NPI 1720176225
  NPD (past)
• Harper Hutzel Hospital

  • Clinic/Center
  • Detroit, MI
  • NPI 1417150327
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1467560599

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1992813406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 CREEKSIDE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-932-0315",
            "fax_number": "916-932-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 CREEKSIDE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-932-0315",
            "fax_number": "916-932-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRIKIA",
        "first_name": "KATHRYN",
        "middle_name": "CAROLIN",
        "name_prefix": "Dr.",
        "credential": "MD, FACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301061506",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "G86919",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G86919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEN MILLS SURG SPEC GRP",
            "identifier": "943235612",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2612952",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIV SURGEONS TAX ID",
            "identifier": "383064919",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "CAROLIN",
            "middle_name": "ALICE",
            "prefix": "DR.",
            "credential": "MD, FACS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Sharmila P. Amolik, M.D.
• Julie Anna Amoruso, FNP PMHNP
• Sophia Anaya
• Anderson Orthopaedic Surgery, a Professional Medical Corporation

• All providers in Folsom, CA
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.