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KELLY GRIFFIN MD
NPI 1659637403
Family Medicine in Sacramento, CA

Active since April 05, 2012PECOS EnrolledAccepts Medicare Assignment
4860 Y ST STE 1600, SACRAMENTO, CA 95817(916) 734-3630(916) 734-5636 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Griffin Md NPPES

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

KELLY GRIFFIN MD (NPI 1659637403) is an individual family medicine provider in Sacramento, California, licensed in California (A128061) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2012).

NPPES Registry Identity

NPI1659637403
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY GRIFFINCredential: MD
Location Address4860 Y ST STE 1600Sacramento, CA 95817-2307
Mailing Address4860 Y St Ste 1600Sacramento, CA 95817-2307
Phone(916) 734-3630
Fax(916) 734-5636
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2012
Enumeration DateApril 5, 2012
Last NPPES UpdateJanuary 9, 2014
✔ NPI 1659637403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A128061
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4860 Y ST STE 1600, Sacramento, CA 95817
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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

Kelly Griffin 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 ID7012225147
PECOS Enrollment IDI20151008002590
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 Kelly Griffin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California
65 mi
Multi-Specialty
2660 W COVELL BLVD
Davis, CA 95616
  • Reassigned Medicare billing, California enrollment
  • 918 clinicians in this Medicare group
NPI 1912987553 (530) 747-3000
Chapa-De Indian Health Program, Inc.
108 mi
Federally Qualified Health Center (FQHC)
11670 ATWOOD RD
Auburn, CA 95603
  • Reassigned Medicare billing, California enrollment
  • 87 clinicians in this Medicare group
NPI 1114057163 (530) 887-2800

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 95817 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.

CAMILLE B MADISON MD
Family Medicine
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630
DR. ERIN ALEXANDRA GLASRUD MD
Family Medicine
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630
MELISSA DANIELLE EIDMAN
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630
CASSIE J IUTZI MD
Family Medicine
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630
JOEL BONILLA-LARSEN MD
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630
DINH PHU PHAM MAI MD
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630
ERICA VEGA ESCALERA
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630
NAOYA V TSUDA MD
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630

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 Kelly Griffin's NPI number?

The NPI number for Kelly Griffin is 1659637403. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Where is Kelly Griffin located?

Kelly Griffin practices at 4860 Y St Ste 1600, Sacramento, CA 95817. The listed phone number is (916) 734-3630.

What is Kelly Griffin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Griffin enrolled in Medicare?

Yes. Kelly Griffin 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 Kelly Griffin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Griffin reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (Davis, CA) and Chapa-De Indian Health Program, Inc. (Auburn, 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 Kelly Griffin'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 Kelly Griffin was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.