JAE WHAN KEUM MD
NPI 1386106631
Internal Medicine - Geriatric Medicine in Sacramento, CA

Q: What is Jae Whan Keum's NPI number?

The NPI number for Jae Whan Keum is 1386106631. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Q: What is Jae Whan Keum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Jae Whan Keum was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment

3000 Q ST FL 2, SACRAMENTO, CA 95816(916) 733-3460(916) 733-3472 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2021, Apr 4, 2019 (2 updates tracked since 2019).

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About Jae Whan Keum Md NPPES

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

JAE WHAN KEUM MD (NPI 1386106631) is an individual geriatric medicine provider in Sacramento, California, licensed in California (A188577) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1386106631

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameJAE WHAN KEUMCredential: MD

Location Address3000 Q ST FL 2Sacramento, CA 95816-7058

Mailing Address3400 Data DrRancho Cordova, CA 95670-7956

Phone(916) 733-3460

Fax(916) 733-3472

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 4, 2019

Last NPPES UpdateSeptember 23, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2025

✔ NPI 1386106631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in CA · A188577

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

3000 Q ST FL 2, Sacramento, CA 95816

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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

Jae Whan Keum 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 ID8921598764

PECOS Enrollment IDI20251110000193

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 Jae Whan Keum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dignity Health Medical Foundation

Same address

Multi-Specialty

3000 Q ST
Sacramento, CA 95816

Reassigned Medicare billing, California enrollment
1,191 clinicians in this Medicare group

NPI 1700803418 (916) 733-3397

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 95816 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

$180.85 typical visit price

range $60.44 – $180.85

Typical copayment $45.21 (range $15.11 – $45.21)

Most-billed visit code 99205

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.

DR. ASHWANI KAPOOR MD

Internal Medicine (Gastroenterology)