KERRY S. WAITS D.O.
NPI 1265449078
Internal Medicine in Red Bluff, CA
About Kerry S. Waits D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KERRY S. WAITS D.O. (NPI 1265449078) is an individual internal medicine provider in Red Bluff, California, licensed in California (20A8424) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kerry S. Waits D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kerry Waits reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 1,216 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 9
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.
RED BLUFF, CA 96080
RED BLUFF, CA 96080
RED BLUFF, CA 96080
RED BLUFF, CA 96080
RED BLUFF, CA 96080
RED BLUFF, CA 96080
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 Kerry Waits's NPI number?
The NPI number for Kerry Waits is 1265449078. It was assigned to this individual provider in the NPPES registry on August 2, 2006.
Where is Kerry Waits located?
Kerry Waits practices at 2550 Sister Mary Columba Dr, Red Bluff, CA 96080. The listed phone number is (530) 529-8330.
What is Kerry Waits's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kerry Waits enrolled in Medicare?
Yes. Kerry Waits is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kerry Waits's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Waits reassigns Medicare benefits to Inpatient Specialists Of California, PC (San Bernardino, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kerry Waits's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kerry Waits was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kerry S. Waits, D.O. · NPI 1265449078
Internal Medicine physician in Red Bluff, California. Individual provider, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1265449078 (Entity type: Individual)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 20A8424 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2550 SISTER MARY COLUMBA DR, Red Bluff, CA 96080-4327
- **Phone:** (530) 529-8330 · **Fax:** (530) 529-8329
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Inpatient Specialists Of California, PC (NPI 1952792475, San Bernardino, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2012
- **Other identifiers:** Medicare UPIN G85264 (CA); Medicare ID-Type Unspecified 020A84240 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1265449078) · Data from the CMS NPPES public registry.