Active NPI
Wael Kouli, MD
- Surgery Physician
- Coronado, CA
National Provider Identifier
1104929215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C55343
- Practice address
- 633 B Ave
Coronado, CA 92118-2225 - Phone
- (609) 442-0559
- NPI assigned
- Sep 6, 2006
- Last updated
- Aug 15, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C55343 | CA | Primary |
Addresses
Primary practice location
633 B Ave
Coronado, CA 92118-2225
Mailing address
633 B Ave
Coronado, CA 92118-2225
Phone (609) 442-0559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C55343 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ira M. Trocki, MD, PA | Past | Accepting new patients | |
| NJ Bariatrics PC | Surgery | Past | Accepting new patients |
| Trocki Surgi-Center PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Trocki Plastic Surgery
- Plastic Surgery Physician
- Northfield, NJ
- NPI 1447307129
-
dba Trocki Surgicenter
- Ambulatory Surgical Clinic/Center
- Northfield, NJ
- NPI 1669539193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1104929215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 B AVE",
"city": "CORONADO",
"state": "CA",
"postal_code": "921182225",
"telephone_number": "609-442-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 B AVE",
"city": "CORONADO",
"state": "CA",
"postal_code": "921182225",
"telephone_number": "609-442-0559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOULI",
"first_name": "WAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C55343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coronado, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.