ABDUL KEZIN HARRIS M.D.
NPI 1396859393
Surgery in Santa Rosa, CA

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
72.73/100
CMS Quality Rating
1701 4TH ST, STE 200, SANTA ROSA, CA 95404(707) 579-2100(707) 523-0616 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Abdul Kezin Harris M.d. NPPES

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

ABDUL KEZIN HARRIS M.D. (NPI 1396859393) is an individual surgery provider in Santa Rosa, California, licensed in California (A61120) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1995).

NPPES Registry Identity

NPI1396859393
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameABDUL KEZIN HARRISCredential: M.D.
Location Address1701 4TH ST, STE 200Santa Rosa, CA 95404-3601
Mailing Address3536 Mendocino Ave, Ste 200Santa Rosa, CA 95403-3634 · (707) 575-6049 · Fax (707) 523-0616
Fax(707) 523-0616
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1995
Enumeration DateAugust 18, 2006
Last NPPES UpdateFebruary 7, 2012
NPI 1396859393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · A61120
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License A61120 (CA)
1701 4TH ST, Santa Rosa, CA 95404

Other Identifiers 5

Other00A611200CA · Bs Of California
Medicare PIN00A611202
Medicaid1396859393CA
Medicare UPING83546CA
OtherP00469231CA · Rr Medicare

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

Abdul Kezin Harris 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 ID6406933845
PECOS Enrollment IDI20080409000265
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 7

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 straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
91 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
81 services81 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services14 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
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.

72.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.14
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Urology
1701 4TH ST, SUITE 200
SANTA ROSA, CA 95404
Audiologist
1701 4TH ST, SUITE 120
SANTA ROSA, CA 95404
Radiology (Diagnostic Radiology)
1701 4TH ST
SANTA ROSA, CA 95404
Otolaryngology
1701 4TH ST, STE 120
SANTA ROSA, CA 95404
Surgery
1701 4TH ST, STE 200
SANTA ROSA, CA 95404
Audiologist
1701 4TH ST, STE 120
SANTA ROSA, CA 95404
Urology
1701 4TH ST, SUITE 200
SANTA ROSA, CA 95404
Otolaryngology
1701 4TH ST, STE 120
SANTA ROSA, CA 95404

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 Abdul Harris's NPI number?

The NPI number for Abdul Harris is 1396859393. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Abdul Harris located?

Abdul Harris practices at 1701 4th St Ste 200, Santa Rosa, CA 95404. The listed phone number is (707) 579-2100.

What is Abdul Harris's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Abdul Harris enrolled in Medicare?

Yes. Abdul Harris 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 Abdul Harris was last updated on February 7, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.