DR. ILYA L KHAMISHON M.D.
NPI 1275517062
Hospitalist in Folsom, CA
About Dr. Ilya L Khamishon M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ILYA L KHAMISHON M.D. (NPI 1275517062) is an individual hospitalist provider in Folsom, California, licensed in California (A54344) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Ilya L Khamishon 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ilya Khamishon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Folsom, CA 95630
- Reassigned Medicare billing, California enrollment
- 918 clinicians in this Medicare group
Folsom, CA 95630
- Reassigned Medicare billing, California enrollment
- 1,191 clinicians in this Medicare group
Ione, CA 95640
- Reassigned Medicare billing, California enrollment
- 221 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95630 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ilya Khamishon's NPI number?
The NPI number for Ilya Khamishon is 1275517062. It was assigned to this individual provider in the NPPES registry on December 5, 2005.
Where is Ilya Khamishon located?
Ilya Khamishon practices at 1650 Creekside Dr Ste 170, Folsom, CA 95630. The listed phone number is (916) 986-4426.
What is Ilya Khamishon's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Ilya Khamishon enrolled in Medicare?
Yes. Ilya Khamishon 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 organizations bill Medicare for Ilya Khamishon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ilya Khamishon reassigns Medicare benefits to 3 organizations: Regents Of The University Of California (Folsom, CA), Dignity Health Medical Foundation (Folsom, CA) and Lodi Memorial Hospital Association Inc (Ione, CA). Each 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 Ilya Khamishon'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 Ilya Khamishon was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Ilya L Khamishon, M.D. · NPI 1275517062
Hospitalist physician in Folsom, California. Individual provider, active in the CMS NPPES registry since December 5, 2005.
## Identity
- **NPI:** 1275517062 (Entity type: Individual)
- **Enumerated:** December 5, 2005
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** A54344 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1650 CREEKSIDE DR STE 170, Folsom, CA 95630-3400
- **Phone:** (916) 986-4426 · **Fax:** (916) 986-4434
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1174503767, Folsom, CA); Dignity Health Medical Foundation (NPI 1497879597, Folsom, CA); Lodi Memorial Hospital Association Inc (NPI 1750391710, Ione, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** April 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1275517062) · Data from the CMS NPPES public registry.