Kenan Erol Celtik, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A184663 Issued in CA

Practice address

575 Sir Francis Drake Blvd Ste 1
Greenbrae, CA 94904-2307

Phone

(415) 625-3230

NPI assigned

Mar 23, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 10, 2025 through Mar 10, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kceltik666870@hisp.ehr.sutterhealth.org
• Direct secure messaging: kenan.celtik.1@30614.direct.athenahealth.com

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.

• Brownstein & Crane Surgical Services

  • Specialist
  • Greenbrae, CA
  • NPI 1881058790
  NPD

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1437680204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 SIR FRANCIS DRAKE BLVD STE 1",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042307",
            "telephone_number": "415-625-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 SIR FRANCIS DRAKE BLVD STE 1",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042307",
            "telephone_number": "415-625-3230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5495 Arapahoe Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803031225",
            "country_code": "US",
            "telephone_number": "303-381-2909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4407 Bee Caves Rd Ste 612",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465285",
            "country_code": "US",
            "telephone_number": "512-553-4524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELTIK",
        "first_name": "KENAN",
        "middle_name": "EROL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "DR.0074209",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "V1750",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A184663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Dawne Carlberg, M.D.
• Melva Yurina Carvajal Mejia, CNM, WHNP
• Evelyn D Cassina, RN
• Mary Ann L Caswick, MD
• James Cegelnik, PT
• Cep America - California
• Imok Cha, MD
• Keith Chamberlin, M.D.
• Michael Chammout, M.D.
• Robert Ching Chan, M.D.

• Urology Physician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.