DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC.
NPI 1346703642
Pathology - Cytopathology in Roseville, CA

Q: What is Diagnostic Pathology Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Pathology, specializing in Cytopathology, with taxonomy code 207ZC0500X.

Active since April 12, 2019

1680 E ROSEVILLE PKWY # 100, ROSEVILLE, CA 95661(916) 447-6267(916) 456-5842 Get Directions Write a Review

NPPES record last updated: April 12, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Diagnostic Pathology Medical Group, Inc. NPPES

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

DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC. (NPI 1346703642) is a healthcare organization registered as a cytopathology in Roseville, California and active in the NPI registry since April 2019. The organization lists Jeanette J Boado, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1346703642

Entity TypeOrganization

Primary Taxonomy207ZC0500X

Legal Business NameDIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC.

Location Address1680 E ROSEVILLE PKWY # 100Roseville, CA 95661-3988

Mailing Address3301 C St Ste 200eSacramento, CA 95816-3363 · (916) 447-6267 · Fax (916) 456-5842

Phone(916) 447-6267

Fax(916) 456-5842

Organization SubpartNo

Authorized OfficialJeanette J BoadoBilling Supervisor · (916) 447-6267

Enumeration DateApril 12, 2019

✔ NPI 1346703642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · CytopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZC0500X

Definition

A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the Pap test. However, the cytopathologist's expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists.

1680 E ROSEVILLE PKWY # 100, Roseville, CA 95661

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diagnostic Pathology Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20040427001740Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 38 clinicians reassign Medicare billing to Diagnostic Pathology Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 38

Jonathan Musicant, M.D.

Pathology

NPI 1366412025

6501 COYLE AVE
Carmichael, CA 95608

(916) 537-5275

✔ PECOS✔ Accepts Medicare6.7 mi

Jonathan Konopinski

Pathology

NPI 1629497185

3301 C ST STE 200E
Sacramento, CA 95816

(800) 465-3203