Individual provider Active NPI

Kristine Jane Guleserian, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Miami, FL
National Provider Identifier
1023070109
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME129510 Issued in FL
Practice address
3100 SW 62ND Ave
Miami, FL 33155-3009
Phone
(305) 663-8401
Fax
(305) 669-6574
NPI assigned
Apr 5, 2006
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X M1122 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME129510 FL Primary

Addresses

Primary practice location

3100 SW 62ND Ave
Miami, FL 33155-3009

Mailing address

7777 Forest LN Ste B120
Dallas, TX 75230-6906
Phone (972) 566-2525

Other practice location 1

7777 Forest Ln Ste B120
Dallas, TX 75230-6906
Phone (972) 566-2525

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KRISTINE.GULESERIAN@hca7.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000630 TX Practitioner - Thoracic SurgeryPractitioner - Cardiac SurgeryPractitioner - Other (Physician) 4981645603 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME129510FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
M1122TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Congenital Heart Surgery Center PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 13, 2019 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince May 13, 2009 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince May 13, 2009 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Medical City OB-GYN, PLLC Past Accepting new patients
Pediatric Cardiac Intensivists of North Texas PLLC PastSince Sep 1, 2019 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

7777 Forest Ln
Ste B120
Dallas, TX 75230
Phone (972) 566-2525

7777 Forest Ln
Ste D1130
Dallas, TX 75230
Phone (214) 824-2563

5575 Warren Pkwy
Frisco, TX 75034
Phone (214) 618-2000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: kristine.guleserian@hca7.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1023070109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306906",
            "telephone_number": "972-566-2525",
            "fax_number": "972-566-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-663-8401",
            "fax_number": "305-669-6574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Forest Ln Ste B120",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752306906",
            "country_code": "US",
            "telephone_number": "972-566-2525",
            "fax_number": "972-566-2032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULESERIAN",
        "first_name": "KRISTINE",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "M1122",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME129510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KRISTINE.GULESERIAN@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "7777 Forest Ln Ste B120",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752306906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.