NPIMap

Individual provider Active NPI

Christian Nabil Athanassious, M.D.

  • Orthopaedic Surgery Physician
  • Santa Rosa, CA
National Provider Identifier
1043471279
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A124589 Issued in CA
Practice address
1405 Montgomery Dr
Santa Rosa, CA 95405-4557
Phone
(707) 546-1922
Fax
(707) 546-1897
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A124589 CA Primary

Addresses

Primary practice location

1405 Montgomery Dr
Santa Rosa, CA 95405-4557

Mailing address

1405 Montgomery Dr
Santa Rosa, CA 95405-4557
Phone (707) 546-1922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130829000470 CA Practitioner - Orthopedic Surgery 3173766755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santa Rosa Orthopaedic Medical Group Inc 7 clinicians

Practice addresses (Care Compare)

1701 4TH St
Suite 200
Santa Rosa, CA 95404-3661
Phone (707) 546-1922

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Santa Rosa, CA, CCN 058189
  • Sutter Santa Rosa Regional Hospital Hospital, Santa Rosa, CA, CCN 050291
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Healdsburg Hospital Hospital, Healdsburg, CA, CCN 051321
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

Merit-based Incentive Payment System (MIPS)

Final score
68.05 of 100Reported as group
Quality
62.72
Promoting interoperability
100
Improvement activities
0
Cost
77.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion573
Laminectomy or laminotomy (partial removal of spine bones)43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Orthopaedic Medical Group, Inc. Orthopaedic Surgery CurrentSince Sep 1, 2014 Accepting new patients
Stanford Health Care Current Accepting new patients
Stanford Health Care CurrentSince Aug 1, 2013 Accepting new patients
Santa Rosa Orthopaedic Medical Group, Inc. Orthopaedic Surgery CurrentSince Sep 1, 2014 Accepting new patients
Stanford Health Care CurrentSince Aug 1, 2013 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

167 Lynch Creek Way
Petaluma, CA 94954
Phone (707) 324-3241

1701 4th St
Ste 200
Santa Rosa, CA 95404
Phone (707) 525-0100

34 Mark West Springs Rd
Ste 300
Santa Rosa, CA 95403
Phone 7075461922 ext. 5453

1405 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 546-1922

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: cathanassious215190@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1043471279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054557",
            "telephone_number": "707-546-1922",
            "fax_number": "707-546-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054557",
            "telephone_number": "707-546-1922",
            "fax_number": "707-546-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHANASSIOUS",
        "first_name": "CHRISTIAN",
        "middle_name": "NABIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A124589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.