Individual provider Active NPI

Peter Crist Kouretas, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Francisco, CA
National Provider Identifier
1144310756
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35-096431 Issued in OH
Practice address
550 16TH St FL 5
San Francisco, CA 94143
Phone
(415) 476-3535
Fax
(415) 476-3535
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35-096431 OH Primary

Addresses

Primary practice location

550 16TH St FL 5
San Francisco, CA 94143

Mailing address

550 16TH St FL 5
San Francisco, CA 94143-2549
Phone (415) 476-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170502000796 CA Practitioner - Pediatric MedicinePractitioner - Cardiac Surgery 2769546167 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiac Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Dept of SurgeryGroup PAC ID 7719886373, 211 clinicians

Practice addresses (Care Compare)

400 Pamassus Ave
San Francisco, CA 94143-0001
Phone (415) 476-1316

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

Merit-based Incentive Payment System (MIPS)

Final score
97.51 of 100Reported as group
Quality
92.74
Improvement activities
40
Cost
72.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-096431OHMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Mar 11, 2017 Accepting new patients
UCSF Pediatrics Associates CurrentSince Mar 11, 2017 Accepting new patients
UCSF Dept of Surgery Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 11, 2017 Accepting new patients
University of California San Francisco CurrentSince Mar 11, 2017 Accepting new patients
Regents of the University of California CurrentSince Mar 11, 2017 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 11, 2017 Accepting new patients
University of California San Francisco CurrentSince Mar 11, 2017 Accepting new patients
University Cardiothoracic-Pediatric Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

550 16th St
Fl 5
San Francisco, CA 94143
Phone (415) 476-5153

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

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

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

1825 4th St
Fl 6
San Francisco, CA 94143
Phone (415) 353-7337

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

Interoperability endpoints

  • Direct secure messaging: pkouretas84086@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 and National Provider Directory roles.

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1144310756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 16TH ST FL 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432549",
            "telephone_number": "415-476-3535",
            "fax_number": "415-476-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 16TH ST FL 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-476-3535",
            "fax_number": "415-476-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURETAS",
        "first_name": "PETER",
        "middle_name": "CRIST",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35-096431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.