DR. ILYA L KHAMISHON M.D.
NPI 1275517062
Hospitalist in Folsom, CA

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
1650 CREEKSIDE DR STE 170, FOLSOM, CA 95630(916) 986-4426(916) 986-4434 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1275517062
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. ILYA L KHAMISHONCredential: M.D.
Location Address1650 CREEKSIDE DR STE 170Folsom, CA 95630-3400
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(916) 986-4434
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateDecember 5, 2005
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 14, 2025
NPI 1275517062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A54344
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

1650 CREEKSIDE DR STE 170, Folsom, CA 95630

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. 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.

PECOS PAC ID5799861597
PECOS Enrollment IDI20080319000305
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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services31 patients

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.

New Patient
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
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.

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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Hospitalist
1650 CREEKSIDE DR STE 170
FOLSOM, CA 95630

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.

When was this NPI record last updated?

The NPPES record for Ilya Khamishon was last updated on April 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.