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

ADRIENNE KOOS DO
NPI 1245826445
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since December 12, 2020PECOS Enrolled
4860 Y ST # 200, SACRAMENTO, CA 95817(504) 842-4747 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adrienne Koos Do NPPES

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

ADRIENNE KOOS DO (NPI 1245826445) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245826445
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameADRIENNE KOOSCredential: DO
Location Address4860 Y ST # 200Sacramento, CA 95817-2307
Mailing Address4860 Y St # 200Sacramento, CA 95817-2307 · (916) 734-3761
Phone(504) 842-4747
Sole ProprietorYes
Enumeration DateDecember 12, 2020
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1245826445 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.
4860 Y ST # 200, 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 (PECOS)

Adrienne Koos Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

AHMAD GILL
Internal Medicine (Cardiovascular Disease)
4860 Y ST # 200
SACRAMENTO, CA 95817
Sacramento County (916) 734-3761

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 Adrienne Koos's NPI number?

The NPI number for Adrienne Koos is 1245826445. It was assigned to this individual provider in the NPPES registry on December 12, 2020.

Where is Adrienne Koos located?

Adrienne Koos practices at 4860 Y St # 200, Sacramento, CA 95817. The listed phone number is (504) 842-4747.

What is Adrienne Koos's specialty?

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

Is Adrienne Koos enrolled in Medicare?

Yes. Adrienne Koos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adrienne Koos was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 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.