Andrea P Metkus, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G75018 Issued in CA

Practice address

50 S. San Mateo
Suite 360
Burlingame, CA 94401-3857

Phone

(650) 342-9491

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• County of San Mateo

  • Multi-Specialty Clinic/Center
  • San Mateo, CA
  • NPI 1679642326
  Medicare reassignment NPD
• County of San Mateo

  • Community/Behavioral Health Agency
  • Redwood City, CA
  • NPI 1528432481
  NPD
• Peninsula Surgical Specialist Medical Group, Inc.

  • Surgical Technologist
  • Burlingame, CA
  • NPI 1720176225
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1306987409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "650-652-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S. SAN MATEO",
            "address_2": "SUITE 360",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "944013857",
            "telephone_number": "650-342-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METKUS",
        "first_name": "ANDREA",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G75018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G75018",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY34803Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael C Menefee, PH.D.
• Grace Magpantay Meneses, PT
• Mary Mercier
• Jennifer Lynn Merrill, LCSW
• Bill Jerry Metaxas, D.P.M.
• Svea Irena Meyer
• William Thomas Meyer, D.D.S.
• Michael E. Bahlinger, D.D.S.
• Michael H Girolami MD a Medical Corporation
• Michael T. Margolis, MD a Professional Corporation

• Surgery Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.