Dr Abhinav Koul, MD - Medicare Gastroenterology in Sacramento, CA

Dr Abhinav Koul, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Sacramento, California. He went to University Of Kentucky College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Providence Medical Foundation and his current practice location is 4150 V St Ste 3500, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 734-7183.

Dr Abhinav Koul is licensed to practice in California (license number A147676) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700145661.

Contact Information

Dr Abhinav Koul, MD
4150 V St Ste 3500,
Sacramento, CA 95817-1460
(916) 734-7183
(916) 734-7904

Map and Direction




Physician's Profile

Full NameDr Abhinav Koul
GenderMale
SpecialityGastroenterology
Experience12 Years
Location4150 V St Ste 3500, Sacramento, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Abhinav Koul attended and graduated from University Of Kentucky College Of Medicine in 2012
  NPI Data:
  • NPI Number: 1700145661
  • Provider Enumeration Date: 05/14/2012
  • Last Update Date: 04/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6608182472
  • Enrollment ID: I20200706000097

Medical Identifiers

Medical identifiers for Dr Abhinav Koul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700145661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology A147676 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santa Rosa Memorial HospitalSanta rosa, CAHospital
St Joseph HospitalEureka, CAHospital
Queen Of The Valley Medical CenterNapa, CAHospital
Sonoma Valley HospitalSonoma, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051312

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Abhinav Koul allows following entities to bill medicare on his behalf.
Entity NameRegents Of The Univ Of Ca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013906973
PECOS PAC ID: 3375456619
Enrollment ID: O20031111000892
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Abhinav Koul is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Abhinav Koul, MD
4150 V St Ste 3500,
Sacramento, CA 95817-1460

Ph: (916) 734-7183
Dr Abhinav Koul, MD
4150 V St Ste 3500,
Sacramento, CA 95817-1460

Ph: (916) 734-7183

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.