DR. KRISTOPHER KORDANA MD
NPI 1457438103
General Practice in Sacramento, CA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
4860 Y ST STE 100, SACRAMENTO, CA 95817(916) 734-2737 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kristopher Kordana Md NPPES

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

DR. KRISTOPHER KORDANA MD (NPI 1457438103) is an individual general practice provider in Sacramento, California, licensed in California (A63588) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1457438103
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. KRISTOPHER KORDANACredential: MD
Location Address4860 Y ST STE 100Sacramento, CA 95817-2307
Mailing Address4860 Y St Ste 100Sacramento, CA 95817-2307
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 8, 2021
✔ NPI 1457438103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A63588
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4860 Y ST STE 100, Sacramento, CA 95817

Other Identifiers 1

OtherA63588CA · State License

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. Kristopher Kordana 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 ID8527029123
PECOS Enrollment IDI20041026000450
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 Reassignments

2

Medicare enrollment records show Kristopher Kordana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Rheumatology
2521 STOCKTON BLVD
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 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 6

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

Internal Medicine (Rheumatology)
4860 Y ST STE 100
SACRAMENTO, CA 95817
Internal Medicine (Infectious Disease)
4860 Y ST STE 100
SACRAMENTO, CA 95817
Internal Medicine
4860 Y ST STE 100
SACRAMENTO, CA 95817
Nurse Practitioner (Pediatrics)
4860 Y ST STE 100, CHILD NEUROLOGY
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 100
SACRAMENTO, CA 95817
Internal Medicine
4860 Y ST STE 100
SACRAMENTO, CA 95817

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 Kristopher Kordana's NPI number?

The NPI number for Kristopher Kordana is 1457438103. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Kristopher Kordana located?

Kristopher Kordana practices at 4860 Y St Ste 100, Sacramento, CA 95817. The listed phone number is (916) 734-2737.

What is Kristopher Kordana's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kristopher Kordana enrolled in Medicare?

Yes. Kristopher Kordana 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 Kristopher Kordana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristopher Kordana reassigns Medicare benefits to 2 organizations: Regents Of The Univ Of Ca (Sacramento, CA) and Permanente Medical Group Inc (Stockton, 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 Kristopher Kordana'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 Kristopher Kordana was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.