EMERGENCY NEUROSURGERY SERVICES MEDICAL GROUP, INC.
NPI 1801120035
Emergency Medicine - Emergency Medical Services in Roseville, CA

Active since September 21, 2009
1301 SECRET RAVINE PKWY, STE 200, ROSEVILLE, CA 95661(916) 771-3393(916) 771-3445 Get Directions Write a Review

NPPES record last updated: September 21, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Emergency Neurosurgery Services Medical Group, Inc. NPPES

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

EMERGENCY NEUROSURGERY SERVICES MEDICAL GROUP, INC. (NPI 1801120035) is a healthcare organization registered as an emergency medical services in Roseville, California and active in the NPI registry since September 2009. The organization lists Melinda Kotko, Biller, as its authorized official.

NPPES Registry Identity

NPI1801120035
Entity TypeOrganization
Primary Taxonomy207PE0004X
Legal Business NameEMERGENCY NEUROSURGERY SERVICES MEDICAL GROUP, INC.
Location Address1301 SECRET RAVINE PKWY, STE 200Roseville, CA 95661-3096
Mailing Address1301 Secret Ravine Pkwy, Ste 200Roseville, CA 95661-3096 · (916) 771-3393 · Fax (916) 771-3445
Fax(916) 771-3445
Organization SubpartNo
Authorized OfficialMelinda KotkoBiller · (916) 771-3393
Enumeration DateSeptember 21, 2009
✔ NPI 1801120035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in CA · G38223
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
1301 SECRET RAVINE PKWY, Roseville, CA 95661

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emergency Neurosurgery Services Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Emergency Neurosurgery Services Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Neurosurgery
NPI 1942474713
1301 SECRET RAVINE PKWY STE 200
Roseville, CA 95661
(916) 771-3300
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1346226685
1301 SECRET RAVINE PARKWAY SUITE 200
Roseville, CA 95661
(916) 771-3300
✔ 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 Emergency Neurosurgery Services Medical Group, Inc.'s NPI number?

The NPI number for Emergency Neurosurgery Services Medical Group, Inc. is 1801120035. It was assigned to this organization in the NPPES registry on September 21, 2009.

Where is Emergency Neurosurgery Services Medical Group, Inc. located?

Emergency Neurosurgery Services Medical Group, Inc. is located at 1301 Secret Ravine Pkwy Ste 200, Roseville, CA 95661. The listed phone number is (916) 771-3393.

What is Emergency Neurosurgery Services Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Emergency Neurosurgery Services Medical Group, Inc. enrolled in Medicare?

Yes. Emergency Neurosurgery Services Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emergency Neurosurgery Services Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Neurosurgery, reassign their Medicare billing to Emergency Neurosurgery Services Medical Group, Inc.. 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, 2 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 Emergency Neurosurgery Services Medical Group, Inc. was last updated on September 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.