ANDREA STAACK M.D. NPI 1578705208

NPI Information

  • NPI: 1578705208
  • Provider Name: ANDREA STAACK, M.D.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 MEDICAL PLZ
    SUITE #140
    LOS ANGELES, CA
    ZIP 90095
  • Phone: (310) 794-7700

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NPI Details

Andrea Staack, M.D. is an urology in Los Angeles, CA with 26 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Andrea Staack, M.D. NPI is 1578705208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 MEDICAL PLZ
SUITE #140
LOS ANGELES, CA
ZIP 90095-001
Phone: (310) 794-7700

The NPI 1578705208 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Urinalysis, manual test (HCPCS:81002)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Insertion of lower leg neurostimulator electrode (HCPCS:64566)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Insertion of device into abdomen with pressure and urine flow rate study (HCPCS:51797)
  • Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51784)
  • Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies (HCPCS:51729)
  • Injection, tobramycin sulfate, up to 80 mg (HCPCS:J3260)
  • Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator (HCPCS:95970)
  • Simple insertion of temporary bladder tube (HCPCS:51702)
  • Injection of implant material beneath lining of bladder and/or urethra using an endoscope (HCPCS:51715)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)

The enumeration date for this NPI number is 3/26/2009 and was last updated on 5/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyF5519CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CP355MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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