CRISTINA SUSANA WIESE MD
NPI 1710921564
Internal Medicine - Gastroenterology in Thousand Oaks, CA
About Cristina Susana Wiese Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRISTINA SUSANA WIESE MD (NPI 1710921564) is an individual gastroenterology provider in Thousand Oaks, California, licensed in California (A91425) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2003).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Cristina Susana Wiese Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Cristina Wiese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Thousand Oaks, CA 91361
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91361 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
THOUSAND OAKS, CA 91361
THOUSAND OAKS, CA 91361
THOUSAND OAKS, CA 91361
THOUSAND OAKS, CA 91361
THOUSAND OAKS, CA 91361
THOUSAND OAKS, CA 91361
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cristina Wiese's NPI number?
The NPI number for Cristina Wiese is 1710921564. It was assigned to this individual provider in the NPPES registry on June 15, 2006.
Where is Cristina Wiese located?
Cristina Wiese practices at 325 Rolling Oaks Dr Suite 100, Thousand Oaks, CA 91361. The listed phone number is (805) 557-0452.
What is Cristina Wiese's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Cristina Wiese enrolled in Medicare?
Yes. Cristina Wiese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Cristina Wiese's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cristina Wiese reassigns Medicare benefits to Cristina S. Wiese. M.D. Inc. (Thousand Oaks, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cristina Wiese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Cristina Wiese was last updated on July 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cristina Susana Wiese, MD · NPI 1710921564
Gastroenterology physician in Thousand Oaks, California. Individual provider, active in the CMS NPPES registry since June 15, 2006.
## Identity
- **NPI:** 1710921564 (Entity type: Individual)
- **Enumerated:** June 15, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** A91425 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 325 ROLLING OAKS DR, SUITE 100, Thousand Oaks, CA 91361-1201
- **Phone:** (805) 557-0452 · **Fax:** (805) 557-0471
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cristina S. Wiese. M.D. Inc. (NPI 1306156260, Thousand Oaks, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Medical College, class of 2003
## Record status
- **NPPES last updated:** July 25, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1710921564) · Data from the CMS NPPES public registry.