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KETAN GANESH KITTUR DO
NPI 1750024162
Family Medicine in Folsom, CA

Active since April 14, 2022PECOS EnrolledAccepts Medicare Assignment
2575 E BIDWELL ST STE 100, FOLSOM, CA 95630(916) 817-3700(916) 817-3701 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2022, Apr 17, 2022 (2 updates tracked since 2022).

About Ketan Ganesh Kittur Do NPPES

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

KETAN GANESH KITTUR DO (NPI 1750024162) is an individual family medicine provider in Folsom, California, licensed in California (20A22107) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Modesto, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750024162
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKETAN GANESH KITTURCredential: DO
Location Address2575 E BIDWELL ST STE 100Folsom, CA 95630-6445
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Phone(916) 817-3700
Fax(916) 817-3701
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 14, 2022
Last NPPES UpdateOctober 20, 20252 updates tracked since enumeration
NPPES CertifiedOctober 20, 2025
✔ NPI 1750024162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A22107
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
2575 E BIDWELL ST STE 100, Folsom, CA 95630
Open in Google Maps ↗

Secondary Practice Location 1

Location 11400 Florida Ave Ste 102Modesto, CA 95350-4446 · Phone (209) 573-6147

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

Ketan Ganesh Kittur Do 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 ID5890292981
PECOS Enrollment IDI20251007000961
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 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 4

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

SHARMILA P. AMOLIK M.D.
Internal Medicine
2575 E BIDWELL ST STE 100
FOLSOM, CA 95630
Sacramento County (916) 817-3700
GABRIEL R REINA MD
Family Medicine
2575 E BIDWELL ST STE 100
FOLSOM, CA 95630
Sacramento County (916) 817-3700
INGRID GAYE GROVE D.O.
Family Medicine
2575 E BIDWELL ST STE 100
FOLSOM, CA 95630
Sacramento County (916) 817-3700
MORGAN ALEXANDRIA SCHULTZ FNP-C
Nurse Practitioner (Family)
2575 E BIDWELL ST STE 100
FOLSOM, CA 95630
Sacramento County (916) 817-3700

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 Ketan Kittur's NPI number?

The NPI number for Ketan Kittur is 1750024162. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Ketan Kittur located?

Ketan Kittur practices at 2575 E Bidwell St Ste 100, Folsom, CA 95630. The listed phone number is (916) 817-3700.

What is Ketan Kittur's specialty?

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

Is Ketan Kittur enrolled in Medicare?

Yes. Ketan Kittur 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 Ketan Kittur was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.