Johan Winoto, MD in Elk Grove, CA

Johan Winoto, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Elk Grove, California. He went to Ohio State University College Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Capitol Nephrology Medical Group and his current practice location is 2218 Kausen Dr Ste 103, Elk Grove, California. You can reach out to his office (for appointments etc.) via phone at (916) 683-8774.

Johan Winoto is licensed to practice in California (license number A116149) 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 1780635920.

Contact Information

	Johan Winoto, MD
	2218 Kausen Dr Ste 103, Elk Grove, CA 95758-7178
	(916) 683-8774
	(916) 683-8777

Map and Direction

Physician's Profile

Full Name	Johan Winoto
Gender	Male
Speciality	Nephrology
Experience	15 Years
Location	2218 Kausen Dr Ste 103, Elk Grove, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Johan Winoto attended and graduated from Ohio State University College Of Medicine in 2010

NPI Data:

NPI Number: 1780635920
Provider Enumeration Date: 05/12/2006
Last Update Date: 06/13/2025

Medicare PECOS Information:

PECOS PAC ID: 5890702427
Enrollment ID: I20110726000600

Medical Identifiers

Medical identifiers for Johan Winoto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780635920	NPI	-	NPPES
GR0015060	Medicaid	CA
P00981485	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	A116149 (California)	Primary
207RN0300X	Internal Medicine - Nephrology	35090745 (Ohio)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Calvine Dialysis Center	Sacramento, CA	Dialysis facility
West Elk Grove Dialysis Center	Elk grove, CA	Dialysis facility
Sutter Medical Center, Sacramento	Sacramento, CA	Hospital
Methodist Hospital Of Sacramento	Sacramento, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Capitol Nephrology Medical Group	5799736427	20

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. Johan Winoto allows following entities to bill medicare on his behalf.

Entity Name	Capitol Nephrology Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235150400 PECOS PAC ID: 5799736427 Enrollment ID: O20050209000991

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. Johan Winoto 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 Address	Practice Location Address
Johan Winoto, MD 1111 Exposition Blvd Ste 300, Sacramento, CA 95815-4324 Ph: (916) 929-8564	Johan Winoto, MD 2218 Kausen Dr Ste 103, Elk Grove, CA 95758-7178 Ph: (916) 683-8774

Reviews and Comments

Internal Medicine Doctors in Elk Grove, CA

Dr. David Lee, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8220 Wymark Dr, Elk Grove, CA 95757 Phone: 916-667-0600 Fax: 916-683-0232
Mrs. Nichole Michelle Renschler, PAC Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8170 Laguna Blvd Ste 114, Elk Grove, CA 95758 Phone: 916-887-7940 Fax: 916-887-4045
Nina Kaur Khangura, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 8220 Wymark Dr, Suite 200, Elk Grove, CA 95757 Phone: 916-691-8500 Fax: 916-691-8599
Dr. Mira Roganovic, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8220 Wymark Drive, Suite 200, Elk Grove, CA 95757 Phone: 916-667-0600 Fax: 916-683-0232
Dr. Radhika Nandur Bukkapatnam, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8110 Laguna Blvd, Elk Grove, CA 95758 Phone: 916-683-3950 Fax: 916-683-3970
Dr. Eddy Y Joelson, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 8260 Longleaf Dr Bldg C, Elk Grove, CA 95758 Phone: 916-691-9827
Mahmoud Khattab, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 9390 Big Horn Blvd, 145, Elk Grove, CA 95758 Phone: 916-691-6666 Fax: 916-691-6668

Johan Winoto, MD - Medicare Nephrology in Elk Grove, CA