DR. HENRY TAYLOR SKIDMORE DO
NPI 1366948002
Anesthesiology in Fairfield, CA
About Dr. Henry Taylor Skidmore Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HENRY TAYLOR SKIDMORE DO (NPI 1366948002) is an individual anesthesiology provider in Fairfield, California, licensed in California (17524) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2018).
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. Henry Taylor Skidmore Do 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
2Medicare enrollment records show Henry Skidmore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Sacramento, CA 95821
- Reassigned Medicare billing, California enrollment
- 65 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.
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.
TRAVIS AFB, CA 94535
TRAVIS AFB, CA 94535
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 Henry Skidmore's NPI number?
The NPI number for Henry Skidmore is 1366948002. It was assigned to this individual provider in the NPPES registry on April 2, 2018.
Where is Henry Skidmore located?
Henry Skidmore practices at 101 Bodin Cir, Fairfield, CA 94535. The listed phone number is (707) 423-3000.
What is Henry Skidmore's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Henry Skidmore enrolled in Medicare?
Yes. Henry Skidmore 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 Henry Skidmore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Henry Skidmore reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Vallejo, CA) and Sacsolano Anesthesia Exchange Medical Group, Inc (Sacramento, 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 Henry Skidmore'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 Henry Skidmore was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Henry Taylor Skidmore, DO · NPI 1366948002
Anesthesiology physician in Fairfield, California. Individual provider, active in the CMS NPPES registry since April 2, 2018.
## Identity
- **NPI:** 1366948002 (Entity type: Individual)
- **Enumerated:** April 2, 2018
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 17524 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 BODIN CIR, Fairfield, CA 94535-1809
- **Phone:** (707) 423-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA); Sacsolano Anesthesia Exchange Medical Group, Inc (NPI 1720401284, Sacramento, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Nova Southeastern College Of Osteo Medicine, class of 2018
## Record status
- **NPPES last updated:** July 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366948002) · Data from the CMS NPPES public registry.