Kali Rose Tileston, MD
Individual provider Active NPI Pediatric Orthopaedic Surgery Physician · Woodside, CA
NPI 1003045683 · NPPES record last updated Apr 27, 2024
Key facts
- NPI
- 1003045683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Orthopaedic Surgery Physician 207XP3100X
- License
- A113697 (CA)
- Practice address
- 319 Highland Ter
Woodside, CA 94062-3520 - Phone
- (510) 520-7281
- NPI assigned
- Jul 5, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of Southern California Keck School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Santa Clara
Practice addresses (Care Compare)
751 S Bascom Ave
San Jose, CA 95128-2604
Hospital & facility affiliations
- Santa Clara Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 61 of 100
- Quality
- 59.41
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 71.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140910000533 | CA | Practitioner - Orthopedic Surgery | 9133348972 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A113697 | CA | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Current |
Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current |
Accepting new patients | |
| Stanford Health Care | Current |
Accepting new patients | |
| LPCH Medical Group Div of Lucile | Current |
Accepting new patients | |
| County of Santa Clara | Current |
Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients |
Locations
1720 El Camino Real
Burlingame, CA 94010
Phone (650) 259-0300
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
730 Welch Rd
Palo Alto, CA 94304
Phone (650) 723-4800
3480 Buskirk Ave
Pleasant Hill, CA 94523
751 S Bascom Ave
Bldg Q
San Jose, CA 95128
Phone (408) 885-6770
751 S Bascom Ave
Fl 2
San Jose, CA 95128
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
Interoperability endpoints
- ktileston11048@santaclaravalley.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A113697 | CA | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | A113697 | CA | Yes |
Addresses
Primary practice location
319 Highland Ter
Woodside, CA 94062-3520
Mailing address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000
Other names
- Dr. Kali Rose Luker
Other providers in Woodside, CA
- Lucy Kay Strand
- Christine Swan
- Stephanie Jordan Swan
- T. Warren Schweitzer MD Inc
- The Village Doctor
- Sarah M Vincenzo
- Virginia Warden
- Norman Warren Weinstein
- Michael M Wick
- Woodside Village Pharmacy
All providers in Woodside, CA · Pediatric Orthopaedic Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.