Individual provider Active NPI

Thomas Kerestes, M.D.

  • Plastic Surgery Physician
  • Salisbury, MD
National Provider Identifier
1922455484
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D0100887 Issued in MD
Practice address
314 W Carroll St Ste 1
Salisbury, MD 21801-5409
Phone
(410) 546-0464
Fax
(410) 546-8529
NPI assigned
May 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X C1-0027208 DE
Plastic Surgery Physician 208200000X D0100887 MD Primary

Addresses

Primary practice location

314 W Carroll St Ste 1
Salisbury, MD 21801-5409

Mailing address

314 W Carroll St Ste 1
Salisbury, MD 21801-5409
Phone (410) 546-0464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 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
I20240724000680 DE Practitioner - Plastic and Reconstructive Surgery 6002352275 Reassigns benefits to 1 organization
I20240724000863 MD Practitioner - Plastic and Reconstructive Surgery 6002352275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Plastic Surgery P CGroup PAC ID 2769469097, shared by 2 NPIs, 7 clinicians

Practice addresses (Care Compare)

30265 Commerce Dr
Unit 208
Millsboro, DE 19966-3728
Phone (302) 663-0119

314 W Carroll St
Suite 1
Salisbury, MD 21801-5409
Phone (410) 546-0464

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision123
Removal of tissue1-10
Skin biopsy116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0027208DEMDPlastic Surgery Physician
D0100887MDMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Plastic Surgery P.C. Plastic Surgery CurrentSince Jul 1, 2024 Accepting new patients
Peninsula Plastic Surgery P C CurrentSince Jul 1, 2024 Accepting new patients
Peninsula Plastic Surgery, P.C. CurrentSince Jul 1, 2024 Accepting new patients

Locations

30265 Commerce Dr
Unit 208
Millsboro, DE 19966
Phone (302) 663-0119

124 N Main St
Ste D
Berlin, MD 21811
Phone (410) 546-0464

314 W Carroll St
Ste 1
Salisbury, MD 21801
Phone (410) 546-0464

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1463270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1922455484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W CARROLL ST STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015409",
            "telephone_number": "410-546-0464",
            "fax_number": "410-546-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W CARROLL ST STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015409",
            "telephone_number": "410-546-0464",
            "fax_number": "410-546-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERESTES",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-15",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "DE",
            "license": "C1-0027208",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0100887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.