Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KA THAO MD
NPI 1073217238
Family Medicine in Davis, CA

Q: What is Ka Thao's NPI number?

The NPI number for Ka Thao is 1073217238. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is Ka Thao's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ka Thao was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2023PECOS Enrolled

1955 COWELL BLVD, DAVIS, CA 95618(530) 757-7100 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Sep 9, 2025, Sep 4, 2025 and 1 more (4 updates tracked since 2023).

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About Ka Thao Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KA THAO MD (NPI 1073217238) is an individual family medicine provider in Davis, California, licensed in California (A203955) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073217238

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKA THAOCredential: MD

Location Address1955 COWELL BLVDDavis, CA 95618-6325

Mailing Address1955 Cowell BlvdDavis, CA 95618-6325 · (530) 757-7100

Phone(530) 757-7100

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 29, 2023

Last NPPES UpdateJuly 8, 20264 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1073217238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A203955

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1955 COWELL BLVD, Davis, CA 95618

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ka Thao Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092211326

PECOS Enrollment IDI20251003003784

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE L. BIER MD

Obstetrics & Gynecology