Active NPI
Kevin Lee Metros, MD
- Orthopaedic Surgery Physician
- Escondido, CA
National Provider Identifier
1215931233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G71444
- Practice address
- 225 E 2ND Ave
Suite 260
Escondido, CA 92025-4212 - Phone
- (866) 228-2236
- Fax
- (760) 737-3430
- NPI assigned
- Jun 8, 2005
- Last updated
- Jun 23, 2015
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G71444 | CA | Primary |
Addresses
Primary practice location
225 E 2ND Ave
Suite 260
Escondido, CA 92025-4212
Mailing address
332 S Juniper St
Suite 100
Escondido, CA 92025-4941
Phone (760) 291-6621
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB223099 | Other | CA | MEDICARE PTAN |
| 00G7144400 | Medicaid | CA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grossmont Medical Clinic a Professional Corporation | Past | Accepting new patients | |
| Kevin Lee Metros, M.D. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- La Mesa, CA
- NPI 1508967662
-
- Specialist
- Escondido, CA
- NPI 1861650632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1215931233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 S JUNIPER ST",
"address_2": "SUITE 100",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254941",
"telephone_number": "760-291-6621",
"fax_number": "760-737-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E 2ND AVE",
"address_2": "SUITE 260",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254212",
"telephone_number": "866-228-2236",
"fax_number": "760-737-3430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METROS",
"first_name": "KEVIN",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G71444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CB223099",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G7144400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.