KELLI LINN DERRAH
NPI 1437766862
Pediatrics in Sacramento, CA

Q: What is Kelli Derrah's NPI number?

The NPI number for Kelli Derrah is 1437766862. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Q: What is Kelli Derrah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Derrah was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 September 29, 2020PECOS Enrolled

1020 29TH ST STE 480, SACRAMENTO, CA 95816(916) 733-3777(916) 454-6780 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 6, 2025, Sep 29, 2020 (2 updates tracked since 2020).

On this page

About Kelli Linn Derrah NPPES

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

KELLI LINN DERRAH (NPI 1437766862) is an individual pediatrics provider in Sacramento, California, licensed in California (A188781) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1437766862

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKELLI LINN DERRAH

Location Address1020 29TH ST STE 480Sacramento, CA 95816-5173

Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769

Phone(916) 733-3777

Fax(916) 454-6780

Sole ProprietorNo

Enumeration DateSeptember 29, 2020

Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1437766862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A188781

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1020 29TH ST STE 480, Sacramento, CA 95816

Open in Google Maps ↗

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 550-6141

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Linn Derrah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kelli Derrah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Valley Medical Foundation

3.9 mi

Multi-Specialty

2700 GATEWAY OAKS DR
Sacramento, CA 95833

Reassigned Medicare billing, California enrollment
3,056 clinicians in this Medicare group

NPI 1952327256 (800) 470-0071

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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

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.

AMARDEEP SINGH BHATTI

Family Medicine