Peter Michael Loisides, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G72821 Issued in CA

Practice address

2001 Santa Monica Blvd
Suite 590W
Santa Monica, CA 90404-2102

Phone

(310) 829-0039

Fax

(310) 828-1791

NPI assigned

Nov 20, 2006

Last updated

Feb 28, 2013By 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 CA

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

Urology

Education

University of Pittsburgh School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Assuta Family Medical Group a Professional Medical CorporationGroup PAC ID 2860529195, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint John's Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score

72.39 of 100Reported as individual

Quality

53.61

Promoting interoperability

93

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peter.loisides.1@16378.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16378/brand/1/csg/1/fhir/r4

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.

• Assuta Family Medical Group a Professional Medical Corporation

  • Family Medicine Physician
  • North Hollywood, CA
  • NPI 1639400260

  Urology

  Medicare reassignment Care Compare group NPD
• Peter M Loisides MD, Inc

  • Urology Physician
  • Santa Monica, CA
  • NPI 1053473355
  Medicare reassignment NPD Authorized official
• Mark J Kelly MD, Inc

  • Urology Physician
  • Santa Monica, CA
  • NPI 1598827826
  NPD (past)

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

• Providence Saint John's Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  Care Compare affiliation

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1679647838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 590W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-829-0039",
            "fax_number": "310-828-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 590W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-829-0039",
            "fax_number": "310-828-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOISIDES",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G72821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lofaro
• Meghan Loftin, RN
• Jennifer Logan, M.D.
• Kathryn Logreco
• Katherine Loi, D.D.S
• John D. Lokrantz, D.D.S.
• Anthony Lombardo
• Chanel London
• Jai Long, LMFT111561
• Longs Drug Stores California LLC (CVS Pharmacy #03903)

• Urology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.