Active NPI
Nicholas Ryan Oberlies, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- San Francisco, CA
National Provider Identifier
1639745029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- A210185
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210701003318 | PA | Order and Referring Only - 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.