OUR SERVICE
Summit Nephrology was founded in July 2005 by a group of dynamic young physicians dedicated to treating the full spectrum of kidney disease from complicated hypertension to glomerulonephritis, dialysis, and post-transplant medicine. Nestled in the Sierra foothills, Summit serves the communities of Roseville, Rocklin, Lincoln, Auburn, Grass Valley, Granite Bay, and Orangevale. Our mission is to bring an academic quality of care to a boutique-style private practice. Central to our patient care model is face to face time with patients; we schedule one hour for new consults and thirty minutes for follow-up appointments. In a few short years we have successfully grown to be the dominant practice in our geographic market.
MISSION STATEMENT
At Summit Nephrology, we create a comfortable and supportive environment that employs like-minded, knowledgeable, and conscientious physicians and staff. We provide compassionate, comprehensive, and individually tailored care for people with kidney related illnesses. Our practice gives our lives meaning, supports our partners in the medical community, and contributes to the well-being of our patients.
Summit Nephrology Medical Group offers a team approach in which physicians and advanced practice providers (APPs) work together to optimize your kidney care. Your kidney care team will include your physician, an APP (Physician’s Assistant or Nurse Practitioner), and as appropriate, a dietitian, social worker, and referrals to surgeons and transplant specialists. We find that this collaboration improves access to our providers and their collective skills and knowledge, enhancing our ability to provide excellent care.
As your healthcare partners, we hold ourselves to the highest standards. We pledge to treat you with respect, honesty, dignity, and compassion. We ask you, our patients, and your family, for your support to help us maintain our practice as a place of mutual respect and healing.
NOW HIRING
(Nephrologists, Nurse Practitioners, Physician Assistants, Medical Assistants)
Please contact us at docs@summitnephrology.net for opportunities.
Not Covered?
We run an insurance-blind practice and will make whatever accommodations we can to see you. If you don’t have insurance, we offer a 20% cash discount and payment plans.
Dialysis Centers
We are strong advocates of home treatment programs, both peritoneal dialysis and home hemodialysis. We serve multiple dialysis centers spanning Grass Valley, Auburn, Lincoln, Roseville, Orangevale, Folsom and Jackson.
Office Hours
*Individual clinic schedules vary by physician.
OUR LOCATIONS
We serve three hospitals:
Our Dialysis Centers:
FKC LincolnFKC Santa Clara Drive in Roseville
FKC Secret Ravine Parkway in Roseville
FKC Stone Point Home in Roseville
DaVita Auburn DialysisDaVita Grass Valley DialysisDaVita Orangevale DialysisDaVita Roseville Dialysis
Satellite Folsom Dialysis
Sutter-IRC Jackson Dialysis
Roseville Office
151 N. Sunrise Ave #1202, Roseville, CA 95661
Call us at: 916.789.1505
Auburn Office
11969 Heritage Oak Pl, Auburn, CA 95603
Call us at: 530.878.5950
Lincoln Office
685 Twelve Bridges Dr, Lincoln, CA 95648
Call us at: 916.789.1505
Meet Our Providers
Adarsh Bhat, MD
Doctor
Brian Thornton, MD
Doctor
Gregory Spin, DO
Doctor
Sourabh Kharait, MD
Doctor
Lana Gafter, MD
Doctor
Don Chang, MD
Doctor
Jackson Wang, MD
Doctor
Piper Hughes, MD
Doctor
Kristan Pontillo, RD, CSR
Registered Dietitian
Cynthia Thompson, PA-C
Physician Assistant
We are active members of Sutter Independent Physicians.
We encourage our patients to take advantage of Sutter’s My Health Online functionality to contact our physicians directly by email.
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Notice To Consumers: Medical doctors are licensed and regulated by the Medical Board of California | 800-633- 2322 | www.mbc.ca.gov
We encourage our patients to take advantage of Sutter’s My Health Online functionality to contact our physicians directly by email.
_
Notice To Consumers: Medical doctors are licensed and regulated by the Medical Board of California | 800-633- 2322 | www.mbc.ca.gov
INDICATIONS FOR REFERRAL
In 2002, the National Kidney Foundation’s Kidney Disease Outcomes and Quality Initiative (K/DOQI) developed a staging process for chronic kidney disease (CKD) based on glomerular filtration rate (GFR). GFR may be estimated by creatinine clearance using several readily available calculations (MDRD formula link). Many major labs are now providing an estimated GFR automatically when a serum creatinine is ordered. Both the International Classification of Diseases (ICD) and the Centers for Medicare & Medicaid Services (CMS) have adopted CKD staging for billing and coding purposes.
Staging and Prevalence of CKD in the United States (Age ≥ 20 years) Stage
Staging and Prevalence of CKD in the United States (Age ≥ 20 years) Stage
| Stage | ICD-10 Code | GFR (ml/min) | Prevalence (N) | Prevalence (%) |
|---|---|---|---|---|
|
1 |
N18.1 |
≥ 90 |
5,900,000 |
3.3 |
|
2 |
N18.2 |
60-90 |
5,300,000 |
3.0 |
|
3 |
N18.3 |
30-59 |
7,600,000 |
4.3 |
|
4 |
N18.4 |
15-29 |
400,000 |
0.2 |
|
5* |
N18.5 |
<15 |
70,000 |
0.0 |
|
5* |
N18.6 |
<15 |
230,000 |
0.1 |
Table adopted from K/DOQI Executive Summary 2002. Data for Stages 1-4 from NHANES III (1988-1994) population of 177 million adults age ≥ 20 years. Data for Stage 5 from USRDS 1998. For Stages 1 and 2, kidney damage is estimated by elevated spot albumin-to-creatinine ratio of > 17mg/g in men, > 25mg/g in women on two measurements.
*Stage 5 is split into patients not yet on renal replacement therapy (RRT) (N18.5) versus those on RRT (N18.6), e.g. dialysis or transplant. More recent data place the Stage 5 population on RRT well above 300,000, with more than 80,000 living with transplants.
Referral to a nephrologist is recommended at CKD Stage 1 or 2 if there is unexplained proteinuria or hematuria or difficult to control hypertension, edema, renal calculi, or polycystic kidney disease. We recommend referral at least by Stage 3 for all diabetics and hypertensives for medication review and comanagement in order to slow the rate of progression of CKD. Patients often have sequellae of CKD like secondary hyperparathyroidism and anemia of CKD by this stage that may benefit from evaluation and management. Certain medications such as gabapentin and digoxin require dose adjustment by Stage 3, and certain medications such as metformin are contraindicated. Patients often develop edema, hyperkalemia, and metabolic acidosis by Stage 4 that may benefit from nephrology comanagement. Patients may be making preparations for renal replacement therapy (e.g. arteriovenous fistula for hemodialysis, peritoneal dialysis catheter referral, transplant referral) or may benefit from education about hospice from a renal perspective. Urgent referral is recommended at Stage 5 for renal replacement therapy or hospice education as well as the indications noted above.
*Stage 5 is split into patients not yet on renal replacement therapy (RRT) (N18.5) versus those on RRT (N18.6), e.g. dialysis or transplant. More recent data place the Stage 5 population on RRT well above 300,000, with more than 80,000 living with transplants.
Referral to a nephrologist is recommended at CKD Stage 1 or 2 if there is unexplained proteinuria or hematuria or difficult to control hypertension, edema, renal calculi, or polycystic kidney disease. We recommend referral at least by Stage 3 for all diabetics and hypertensives for medication review and comanagement in order to slow the rate of progression of CKD. Patients often have sequellae of CKD like secondary hyperparathyroidism and anemia of CKD by this stage that may benefit from evaluation and management. Certain medications such as gabapentin and digoxin require dose adjustment by Stage 3, and certain medications such as metformin are contraindicated. Patients often develop edema, hyperkalemia, and metabolic acidosis by Stage 4 that may benefit from nephrology comanagement. Patients may be making preparations for renal replacement therapy (e.g. arteriovenous fistula for hemodialysis, peritoneal dialysis catheter referral, transplant referral) or may benefit from education about hospice from a renal perspective. Urgent referral is recommended at Stage 5 for renal replacement therapy or hospice education as well as the indications noted above.
INSURANCE WE ACCEPT
If you do not see your insurance listed above, please call our office, as we may be able to see you with prior authorization or through subcontracts not listed above. We do offer a 20% cash discount and payment plans through our billing service. Unfortunately, at this time we are closed to new Medi-Cal and Managed Medi-Cal plans. Complete coverage list can be found here.