Individual provider Active NPI

Nicholas Ryan Oberlies, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • San Francisco, CA
National Provider Identifier
1639745029
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
A210185 Issued in CA
Practice address
2380 Sutter St FL 3
San Francisco, CA 94115-3006
Phone
(415) 353-2757
Fax
(415) 885-7546
NPI assigned
May 27, 2021
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Otolaryngology Physician 207Y00000X A210185 CA
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X A210185 CA Primary

Addresses

Primary practice location

2380 Sutter St FL 3
San Francisco, CA 94115-3006

Mailing address

3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
Phone (412) 647-4693

Other practice location 1

203 Lothrop St Ste 300
Pittsburgh, PA 15213-2548
Phone (412) 647-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210701003318 PA Order and Referring Only - OtolaryngologyPractitioner - Otolaryngology 5698176295

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Pittsburgh School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

490 Illinoi St 6TH Floor RM
600A
San Francisco, CA 94115

490 Illinoi St 6TH Floor RM
600A 6TH Floor
San Francisco, CA 94143

490 Illinois St
FL 6
San Francisco, CA 94143-2510

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: nicholas.oberlies@upmcdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1639745029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVE STE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133410",
            "telephone_number": "412-647-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 SUTTER ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153006",
            "telephone_number": "415-353-2757",
            "fax_number": "415-885-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Lothrop St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132548",
            "country_code": "US",
            "telephone_number": "412-647-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBERLIES",
        "first_name": "NICHOLAS",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A210185",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "A210185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.