Active NPI
Annick Aubin-Pouliot
- Otolaryngology Physician
- Santa Rosa, CA
National Provider Identifier
1205213170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A145844
- Practice address
- 1701 4TH St Ste 120
Santa Rosa, CA 95404-3661 - Phone
- (707) 523-7025
- Fax
- (707) 523-3024
- NPI assigned
- Apr 30, 2015
- Last updated
- Aug 17, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A145844 | CA | Primary |
Addresses
Primary practice location
1701 4TH St Ste 120
Santa Rosa, CA 95404-3661
Mailing address
1701 4TH St Ste 120
Santa Rosa, CA 95404-3661
Phone (707) 523-7025
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of California, San Francisco School of Medicine, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Hospital & facility affiliations
- Providence Santa Rosa Memorial Hospital
- Sutter Santa Rosa Regional Hospital
- Marinhealth Medical Center
- Adventist Health Ukiah Valley
- Petaluma Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.9 of 100
- Quality
- 81.89
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 73.31
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 62
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.03 of 100
- Quality
- 80.86
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 75.91
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A145844 | CA | MD | Otolaryngology Physician |
Interoperability endpoints
- aaubinpouliot37730@direct-ucsfmedicalcenter.org
- aaubinpouliot554717@hisp.ehr.sutterhealth.org
Organizations & group practices 1
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 UCSF Physician Group
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
dba Petaluma Valley Hospital
- General Acute Care Hospital
- Petaluma, CA
- NPI 1235162645
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
-
dba Adventist Health Ukiah Valley
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1205213170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 4TH ST STE 120",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954043661",
"telephone_number": "707-523-7025",
"fax_number": "707-523-3024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 4TH ST STE 120",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954043661",
"telephone_number": "707-523-7025",
"fax_number": "707-523-3024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUBIN-POULIOT",
"first_name": "ANNICK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-30",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A145844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.