JOHN DIRK COBURN M.D. - NPI 1093078172 - Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is John Coburn's NPI number?

The NPI number for John Coburn is 1093078172. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Q: What is John Coburn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for John Coburn was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

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About John Dirk Coburn M.d. NPPES

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

JOHN DIRK COBURN M.D. (NPI 1093078172) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2012).

NPPES Registry Identity

NPI1093078172

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOHN DIRK COBURNCredential: M.D.

Location Address2315 STOCKTON BLVD # 2100Sacramento, CA 95817-2201

Mailing Address2315 Stockton Blvd # 2100Sacramento, CA 95817-2201 · (916) 734-8571 · Fax (916) 734-7950

Phone(916) 734-8571

Fax(916) 734-7950

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2012

Enumeration DateJune 22, 2012

Last NPPES UpdateDecember 15, 2021

✔ NPI 1093078172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2315 STOCKTON BLVD # 2100, Sacramento, CA 95817

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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 and accepts Medicare assignment

John Dirk Coburn M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406165901

PECOS Enrollment IDI20151023001344

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

24 services24 patients

Other Providers at the Same Location NPPES 5

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

ELAINE DELLINGER MD

Emergency Medicine