PETER DEAN POULLOS M.D. NPI 1740478395

NPI Information

  • NPI: 1740478395
  • Provider Name: PETER DEAN POULLOS, M.D.
  • Classification: Radiology - 2085B0100X
  • Specialization: Body Imaging
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 PASTEUR DR
    STANFORD, CA
    ZIP 94305
  • Phone: (650) 723-4000

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NPI Details

Peter Dean Poullos, M.D. is a body imaging radiology in Stanford, CA with 27 years of experience. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Peter Dean Poullos, M.D. NPI is 1740478395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 PASTEUR DR
STANFORD, CA
ZIP 94305-200
Phone: (650) 723-4000

The NPI 1740478395 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.

  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
  • Ct scan of abdomen with contrast (HCPCS:74160)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ct scan of abdomen with contrast (HCPCS:74160)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Diagnostic ct scan of large intestine without contrast (HCPCS:74261)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Limited ultrasound scan of abdomen (HCPCS:76705)

The enumeration date for this NPI number is 10/9/2007 and was last updated on 4/7/2024.

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
12085R0202XRadiologyDiagnostic RadiologyA73516CALIFORNIANo
22085B0100XRadiologyBody ImagingA73516CALIFORNIAYes

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
1113678OTHERCALIFORNIAUPIN
200A869820MEDICAIDCALIFORNIA

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: 11/21/2025

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