NPIMap

Individual provider Active NPI

Alexander Antonios Theologis, M.D.

  • Orthopaedic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1649565771
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A124464 Issued in CA
Practice address
500 Parnassus Ave
Mu320
San Francisco, CA 94143
Phone
(415) 353-8203
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 2017010211 MO
Orthopaedic Surgery Physician 207X00000X A124464 CA Primary

Addresses

Primary practice location

500 Parnassus Ave
Mu320
San Francisco, CA 94143

Mailing address

660 S Euclid Ave
Saint Louis, MO 63110-1010
Phone (650) 996-6651

Other practice location 1

500 Parnassus Ave
Mu320
San Francisco, CA 94143
Phone (415) 353-8203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180905001368 CA Practitioner - Orthopedic Surgery 5890926992 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

521 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • Opo Health, LLC Home health agency, San Mateo, CA, CCN 559709
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion650
Laminectomy or laminotomy (partial removal of spine bones)105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017010211MOMDOrthopaedic Surgery of the Spine Physician
124464CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Dec 1, 2019 Accepting new patients
University of California San Francisco Orthopaedic Surgery CurrentSince Aug 1, 2018 Accepting new patients
University of California SFGH Medical Group Orthopaedic Surgery CurrentSince Dec 1, 2019 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 1, 2018 Accepting new patients
UCSF Medical Group Business Services Orthopaedic Surgery CurrentSince Aug 1, 2018 Accepting new patients
University of California San Francisco CurrentSince Aug 1, 2018 Accepting new patients
University of California San Francisco Past Accepting new patients
Barnes Jewish West County Hospital Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

3333 California St
Ste 110
San Francisco, CA 94118

500 Parnassus Ave
#320
San Francisco, CA 94143
Phone (415) 353-8203

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

500 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-4562

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1001 Potrero Ave
Bldg 53RD
San Francisco, CA 94110
Phone (628) 206-8265

Interoperability endpoints

  • Direct secure messaging: atheologis14086@direct-ucsfmedicalcenter.org
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 11

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1649565771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "650-996-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARNASSUS AVE",
            "address_2": "MU320",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-353-8203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Parnassus Ave",
            "address_2": "MU320",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94143",
            "country_code": "US",
            "telephone_number": "415-353-8203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEOLOGIS",
        "first_name": "ALEXANDER",
        "middle_name": "ANTONIOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MO",
            "license": "2017010211",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A124464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.