Kristine Jane Guleserian, MD

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

Sex

Female

Sole proprietor

No

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

• Congenital Heart Surgery Center PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Dallas, TX
  • NPI 1386700565

  Thoracic Surgery (Cardiothoracic Vascular Surgery), TX

  Medicare reassignment NPD
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566

  TX

  Medicare reassignment NPD
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Austin, TX
  • NPI 1871729376

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD
• Medical City OB-GYN, PLLC

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1295275071
  NPD (past)
• Pediatric Cardiac Intensivists of North Texas PLLC

  • Pediatric Cardiology Physician
  • Dallas, TX
  • NPI 1427298264
  NPD (past)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2022.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172724001",
            "state": "TX"
        }
    ],
    "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": []
}

• Eduardo Antonio Guizan Corrales
• Mayura Prakash Gujarathi, M.D.
• Sagar Gulati, MD
• Sanjeev Gulati, MD
• Vinita Gulati
• Gulf Coast Family Psychiatry Professional Association
• Gulf Coast Jewish Family and Community Services, Inc.
• Gulfstream Healthcare Partners LLC
• Sakir Humayun Gultekin, MD
• Marie Guma

• All providers in Miami, FL
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.