NPIMap

Individual provider Active NPI

Nicholas Colyvas, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Los Gatos, CA
National Provider Identifier
1134148232
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A050788 Issued in CA
Practice address
777 Knowles Dr
Suite # 9
Los Gatos, CA 95032-1417
Phone
(408) 364-1673
Fax
(408) 364-1635
NPI assigned
Jul 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A050788 CA Primary

Addresses

Primary practice location

777 Knowles Dr
Suite # 9
Los Gatos, CA 95032-1417

Mailing address

777 Knowles Dr
Suite # 9
Los Gatos, CA 95032-1417
Phone (408) 364-1673

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
I20051121000871 CA Practitioner - Orthopedic Surgery 2860411667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 473-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)16
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A050788CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince May 20, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 31, 2012 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 31, 2012 Accepting new patients
UCSF Dept of Surgery CurrentSince Aug 18, 2012 Accepting new patients
University of California San Francisco Current Accepting new patients
El Camino Hospital Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Upmc Washington Past Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: ncolyvas15192@direct-ucsfmedicalcenter.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134148232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 KNOWLES DR",
            "address_2": "SUITE # 9",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321417",
            "telephone_number": "408-364-1673",
            "fax_number": "408-364-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 KNOWLES DR",
            "address_2": "SUITE # 9",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321417",
            "telephone_number": "408-364-1673",
            "fax_number": "408-364-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLYVAS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A050788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.