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KELADA PHYSICIANS GROUP, INC
NPI 1437707387
Clinic/Center - Primary Care in Roseville, CA

Active since September 03, 2019
680 SUNRISE AVE, ROSEVILLE, CA 95661(916) 786-4700(916) 786-3912 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelada Physicians Group, Inc NPPES

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

KELADA PHYSICIANS GROUP, INC (NPI 1437707387), doing business as Roseville Family Healthcare, is a healthcare organization registered as a primary care in Roseville, California and active in the NPI registry since September 2019. The organization lists John Paul Youssry Kelada, Vice President/secretary, as its authorized official.

NPPES Registry Identity

NPI1437707387
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKELADA PHYSICIANS GROUP, INC
Location Address680 SUNRISE AVERoseville, CA 95661-4110
Mailing Address680 Sunrise AveRoseville, CA 95661-4110 · (916) 786-4700 · Fax (916) 786-3912
Phone(916) 786-4700
Fax(916) 786-3912
Organization SubpartNo
Authorized OfficialJohn Paul Youssry KeladaVice President/secretary · (916) 786-4700
Enumeration DateSeptember 3, 2019
✔ NPI 1437707387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
680 SUNRISE AVE, Roseville, CA 95661
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Other Names 1

Doing Business AsRoseville Family Healthcare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelada Physicians Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Kelada Physicians Group, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Alexandra-Mary Kelada, DO, MPH
Internal Medicine
NPI 1811429418
680 SUNRISE AVE
Roseville, CA 95661
(916) 786-4700
✔ PECOS✔ Accepts MedicareSame address
John Paul Kelada, MD
Family Practice
NPI 1013396118
680 SUNRISE AVE
Roseville, CA 95661
(916) 786-4700
✔ PECOS✔ Accepts MedicareSame address
Youssry Kelada, M.D.
Family Practice
NPI 1316919442
680 SUNRISE AVE
Roseville, CA 95661
(916) 786-4700
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kelada Physicians Group, Inc's NPI number?

The NPI number for Kelada Physicians Group, Inc is 1437707387. It was assigned to this organization in the NPPES registry on September 3, 2019. The provider is doing business as Roseville Family Healthcare.

Where is Kelada Physicians Group, Inc located?

Kelada Physicians Group, Inc is located at 680 Sunrise Ave, Roseville, CA 95661. The listed phone number is (916) 786-4700.

What is Kelada Physicians Group, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Kelada Physicians Group, Inc enrolled in Medicare?

Yes. Kelada Physicians Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelada Physicians Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Kelada Physicians Group, Inc, in Family Practice and Internal Medicine. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelada Physicians Group, Inc was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.