DR. ILYA L KHAMISHON (M.D.) – Internal Medicine Physician, NPI 1275517062
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,302 HOSPITALIST in CA
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Provider Addresses for DR. ILYA L KHAMISHON (M.D.)
Esplanade Circle, Folsom, Sacramento County, California, 95630, United States
FOLSOM, CA 956307385
Phone: (916) 217-4592
Type: Mailing
1650 CREEKSIDE DR STE 170
FOLSOM, CA 956303400
Phone: (916) 986-4426
Fax: (916) 986-4434
Type: Location
3400 DATA DR
RANCHO CORDOVA, CA 956707956
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-03-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080319000305 | I | Hospitalist | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 27 | 26 | $0 |
Insurance plans in this area (ZIP 95630)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| - | CA | |
| Internal Medicine | CA | |
| N E U R O L O G Y | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| Diagnostic Radiology | CA | |
| - | CA |
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