Individual provider Active NPI

Lucas Douglas Karaelias, M.D.

  • Emergency Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1932363215
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A97105 Issued in CA
Practice address
1911 Johnson Ave
French Hospital Medical Ctr/Dept. of Emergency Medicine
San Luis Obispo, CA 93401-4131
Phone
(805) 542-6633
NPI assigned
Jul 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A97105 CA Primary

Addresses

Primary practice location

1911 Johnson Ave
French Hospital Medical Ctr/Dept. of Emergency Medicine
San Luis Obispo, CA 93401-4131

Mailing address

1911 Johnson Ave
French Hospital/Department of Emergency Medicine
San Luis Obispo, CA 93401-4131
Phone (805) 542-6633

Other practice location 1

2150 Main St Ste 3
Cambria, CA 93428-3022
Phone (805) 440-3283

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091214000366 CA Practitioner - Emergency Medicine 0840330312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97105CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Richard David Griffith MD, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients

Locations

345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261

2150 Main St
Ste 3
Cambria, CA 93428
Phone (805) 440-3283

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25380/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1932363215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 JOHNSON AVE",
            "address_2": "FRENCH HOSPITAL/DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014131",
            "telephone_number": "805-542-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 JOHNSON AVE",
            "address_2": "FRENCH HOSPITAL MEDICAL CTR/DEPT. OF EMERGENCY MEDICINE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014131",
            "telephone_number": "805-542-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Cambria",
            "state": "CA",
            "postal_code": "934283022",
            "country_code": "US",
            "telephone_number": "805-440-3283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARAELIAS",
        "first_name": "LUCAS",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A97105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.