DR. KENNY BAINS M.D.
NPI 1104358571
Family Medicine in Roseville, CA
About Dr. Kenny Bains M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNY BAINS M.D. (NPI 1104358571) is an individual family medicine provider in Roseville, California, licensed in California (A163717) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Kenny Bains 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenny Bains's NPI number?
The NPI number for Kenny Bains is 1104358571. It was assigned to this individual provider in the NPPES registry on April 3, 2017.
Where is Kenny Bains located?
Kenny Bains practices at 3100 Douglas Blvd, Roseville, CA 95661. The listed phone number is (916) 774-8300.
What is Kenny Bains's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kenny Bains enrolled in Medicare?
Yes. Kenny Bains is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kenny Bains was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Kenny Bains, M.D. · NPI 1104358571
Family Medicine physician in Roseville, California. Individual provider, active in the CMS NPPES registry since April 3, 2017.
## Identity
- **NPI:** 1104358571 (Entity type: Individual)
- **Enumerated:** April 3, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A163717 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3100 DOUGLAS BLVD, Roseville, CA 95661-3866
- **Phone:** (916) 774-8300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 25, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1104358571) · Data from the CMS NPPES public registry.