Individual provider Active NPI

Michael C Glafkides, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • San Bruno, CA
National Provider Identifier
1154431120
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
G51008 Issued in CA
Practice address
1001 Sneath LN Ste 200
San Bruno, CA 94066-2349
Phone
(650) 244-0600
Fax
(650) 873-2774
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X G51008 CA Primary

Addresses

Primary practice location

1001 Sneath LN Ste 200
San Bruno, CA 94066-2349

Mailing address

101 S San Mateo Dr Ste 200
San Mateo, CA 94401-3843
Phone (650) 347-7900

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
I20101111001279 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 3274728548 Practice locations: San Mateo, CA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Harvard Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 S San Mateo Dr
Suite 200
San Mateo, CA 94401-3844
Phone (650) 347-7900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51008CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Health Services Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
Seton Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Organizations & group practices 5

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 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1154431120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013843",
            "telephone_number": "650-347-7900",
            "fax_number": "650-347-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SNEATH LN STE 200",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662349",
            "telephone_number": "650-244-0600",
            "fax_number": "650-873-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAFKIDES",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "G51008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

Verify at the official NPI Registry.