DR. KHARY SHIYTH DORSEY M.D.
NPI 1992017826
Obstetrics & Gynecology in Modesto, CA

Active since July 08, 2010PECOS EnrolledAccepts Medicare Assignment
1400 FLORIDA AVE, SUITE 207, MODESTO, CA 95350(209) 522-1027 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Khary Shiyth Dorsey M.d. NPPES

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

DR. KHARY SHIYTH DORSEY M.D. (NPI 1992017826) is an individual obstetrics & gynecology provider in Modesto, California, licensed in California (133767) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2010).

NPPES Registry Identity

NPI1992017826
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. KHARY SHIYTH DORSEYCredential: M.D.
Location Address1400 FLORIDA AVE, SUITE 207Modesto, CA 95350-4422
Mailing Address1400 Florida Ave, Suite 207Modesto, CA 95350-4422 · (209) 522-1027
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2010
Enumeration DateJuly 8, 2010
Last NPPES UpdateFebruary 11, 2022
NPI 1992017826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · 133767
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1400 FLORIDA AVE, Modesto, CA 95350

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

Dr. Khary Shiyth Dorsey M.d. 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 ID8123343670
PECOS Enrollment IDI20150204002183
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 95350 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
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 19

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

Advanced Practice Midwife
1400 FLORIDA AVE, STE. 207
MODESTO, CA 95350
Advanced Practice Midwife
1400 FLORIDA AVE, STE. 207
MODESTO, CA 95350
Orthopaedic Surgery
1400 FLORIDA AVE
MODESTO, CA 95350
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE
MODESTO, CA 95350
Specialist
1400 FLORIDA AVE, SUITE 110
MODESTO, CA 95350
Family Medicine
1400 FLORIDA AVE
MODESTO, CA 95350
Neurological Surgery
1400 FLORIDA AVE, STE 104
MODESTO, CA 95350
Preferred Provider Organization
1400 FLORIDA AVE, SUITE 205 A
MODESTO, CA 95350

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 Khary Dorsey's NPI number?

The NPI number for Khary Dorsey is 1992017826. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Khary Dorsey located?

Khary Dorsey practices at 1400 Florida Ave Suite 207, Modesto, CA 95350. The listed phone number is (209) 522-1027.

What is Khary Dorsey's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Khary Dorsey enrolled in Medicare?

Yes. Khary Dorsey 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 Khary Dorsey was last updated on February 11, 2022. 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.