Individual provider Active NPI

Ari Katerelos, M.D.

  • Radiation Oncology Physician
  • Tamuning, GU
National Provider Identifier
1861607418
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
M-1914 Issued in GU
Practice address
633 Gov Carlos Camacho Rd Ste B-1
Tamuning, GU 96913
Phone
(671) 646-3363
Fax
(671) 646-4873
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X M-1914 GU Primary
Radiation Oncology Physician 2085R0001X A99003 CA

Addresses

Primary practice location

633 Gov Carlos Camacho Rd Ste B-1
Tamuning, GU 96913

Mailing address

633 Gov Carlos Camacho Rd
Suite B1
Tamuning, GU 96913

Other practice location 1

401 E Highland Ave Ste D
San Bernardino, CA 92404-3800
Phone (909) 475-2700

Other names 1

  • Dr. Aristidis Katerelos Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com CITY OF HOPE MEDICAL FOUNDATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GU2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101027000277 CA Practitioner - Radiation Oncology 2365636099 Reassigns benefits to 3 organizations
I20230201002560 GU Practitioner - Radiation Oncology 2365636099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of California, Geffen School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proton Doctors Professional CorporationGroup PAC ID 7214202936, 13 clinicians

Practice addresses (Care Compare)

633 Gov Carlos Camacho Rd
Suite B1
Tamuning, GU 96913-3143
Phone (671) 646-3363

9730 Summers Ridge Rd
San Diego, CA 92121-3101
Phone (858) 549-7400

Merit-based Incentive Payment System (MIPS)

Final score
75.81 of 100Reported as group
Quality
51.62
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.22 of 100Reported as group
Quality
78.84
Improvement activities
40
Cost
61.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99003CAMDRadiation Oncology Physician

Practice roles (10 of 11)

OrganizationSpecialtyStatusNew patients
City of Hope Medical Foundation Radiation Oncology CurrentSince Mar 1, 2018 Accepting new patients
Island Cancer Center Corporation Radiation Oncology CurrentSince Oct 20, 2025 Accepting new patients
Proton Doctors Professional Corporation Radiation Oncology CurrentSince Jan 15, 2022 Accepting new patients
Advanced Radiation Oncology Medical Group, Inc. Radiation Oncology CurrentSince Oct 25, 2015 Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Dignity Health Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Valley Radiotherapy Associates Medical Group Inc Radiation Oncology Past Accepting new patients

Locations

9229 Wilshire Blvd
Beverly Hills, CA 90210
Phone (310) 205-5777

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

401 E Highland Ave
Ste D
San Bernardino, CA 92404
Phone (909) 475-2700

9730 Summers Ridge Rd
San Diego, CA 92121
Phone (858) 549-7400

401 E Highland Ave
Sn Bernrdno, CA 92404
Phone (909) 475-2700

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

44274 George Cushman Ct
Ste 110
Temecula, CA 92592
Phone (951) 252-9300

2707 E Valley Blvd
Ste 109
West Covina, CA 91792
Phone (626) 956-8009

36450 Inland Valley Dr
Ste 101
Wildomar, CA 92595
Phone (909) 696-0679

633 Gov Carlos G Camacho Rd
Ste B1
Tamuning, GU 96913
Phone (671) 646-3363

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: akaterelos672663@oc.providencedirect.org
  • Direct secure messaging: direct@cityofhope.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1861607418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS CAMACHO RD",
            "address_2": "SUITE B1",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS CAMACHO RD STE B-1",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-646-3363",
            "fax_number": "671-646-4873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Highland Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924043800",
            "country_code": "US",
            "telephone_number": "909-475-2700",
            "fax_number": "909-475-2738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATERELOS",
        "first_name": "ARI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GU",
            "license": "M-1914",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A99003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ARISTIDIS",
            "last_name": "KATERELOS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.