KELTY WHITE MD
NPI 1275237182
Family Medicine in Sacramento, CA

Active since March 27, 2023PECOS EnrolledAccepts Medicare Assignment
7601 HOSPITAL DR STE 103, SACRAMENTO, CA 95823(916) 681-1600 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2026, Mar 27, 2023 (2 updates tracked since 2023).

About Kelty White Md NPPES

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

KELTY WHITE MD (NPI 1275237182) is an individual family medicine provider in Sacramento, California, licensed in California (A201711) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grass Valley, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1275237182
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELTY WHITECredential: MD
Location Address7601 HOSPITAL DR STE 103Sacramento, CA 95823-5408
Mailing Address1350 E Main StGrass Valley, CA 95945-5208 · (530) 477-8545
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 27, 2023
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1275237182 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 · A201711
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.
7601 HOSPITAL DR STE 103, Sacramento, CA 95823

Secondary Practice Location 1

Location 11350 E Main StGrass Valley, CA 95945-5208 · Phone (530) 477-8545

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelty White Md 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 ID7315424280
PECOS Enrollment IDI20260805002747
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelty White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
11670 ATWOOD RD
Auburn, CA 95603
  • Reassigned Medicare billing, California enrollment
  • 87 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 95823 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.

Family Medicine
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Family Medicine
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Family Medicine
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823

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 Kelty White's NPI number?

The NPI number for Kelty White is 1275237182. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Kelty White located?

Kelty White practices at 7601 Hospital Dr Ste 103, Sacramento, CA 95823. The listed phone number is (916) 681-1600.

What is Kelty White's specialty?

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

Is Kelty White enrolled in Medicare?

Yes. Kelty White 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.

Which organization bills Medicare for Kelty White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelty White reassigns Medicare benefits to Chapa-De Indian Health Program, Inc. (Auburn, 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 Kelty White'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 Kelty White was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.