Kristan David Guenterberg, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

57-010164 Issued in OH

Practice address

9927 Mickelberry Rd NW
Suite 121
Silverdale, WA 98383-9195

Phone

(360) 613-1335

Fax

(360) 613-1329

NPI assigned

May 2, 2007

Last updated

Mar 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

General Surgery

Education

Loma Linda University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kitsap General Surgery PLLCGroup PAC ID 9830199553, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

Merit-based Incentive Payment System (MIPS)

Final score

85.08 of 100Reported as group

Quality

65.6

Improvement activities

40

Cost

96.15

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBADAA/Endpoint/IBADAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kitsap General Surgery PLLC

  • Surgery Physician
  • Silverdale, WA
  • NPI 1912010984
  Medicare reassignment Care Compare group
• Commonspirit Washington Community Care

  dba St Michael Medical Center

  • General Acute Care Hospital
  • Silverdale, WA
  • NPI 1518912609
  NPD (past)

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

• Commonspirit Washington Community Care

  dba St Michael Medical Center

  • General Acute Care Hospital
  • Silverdale, WA
  • NPI 1518912609
  Care Compare affiliation

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1659593754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9927 MICKELBERRY RD NW",
            "address_2": "SUITE 121",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839195",
            "telephone_number": "360-613-1335",
            "fax_number": "360-613-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9927 MICKELBERRY RD NW",
            "address_2": "SUITE 121",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839195",
            "telephone_number": "360-613-1335",
            "fax_number": "360-613-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENTERBERG",
        "first_name": "KRISTAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "57-010164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefan Mark Groetsch, MD
• Evan Charles Grolley, AU.D.
• Lisa Lorraine Gross, L.M.P.
• Leigha K Gruber
• Michael Ryan Gruner, SLPA
• Darby Guerechit
• Arthur Xavier Guevara II
• Eric S Guglielmo, M.D.
• Gulati Estate
• Pranay Gulati, DDS

• Surgery Physician in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.

Verify at the official NPI Registry.