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DR. JAMES PATHOULAS MD
NPI 1972244051
Dermatology in Redwood City, CA

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
450 BROADWAY ST FL B4, REDWOOD CITY, CA 94063(650) 723-6316 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2025, Jun 20, 2023, Apr 20, 2022 and 1 more (4 updates tracked since 2022).

About Dr. James Pathoulas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES PATHOULAS MD (NPI 1972244051) is an individual dermatology provider in Redwood City, California, licensed in California (192074) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in South San Francisco, and is a graduate of University Of Minnesota Medical School (2022).

NPPES Registry Identity

NPI1972244051
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. JAMES PATHOULASCredential: MD
Location Address450 BROADWAY ST FL B4Redwood City, CA 94063-3132
Mailing Address450 Broadway, Pavilion B, 4th FloorRedwood City, CA 94063 · (608) 782-7300
Phone(650) 723-6316
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateJune 18, 20254 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1972244051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · 192074
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
450 BROADWAY ST FL B4, Redwood City, CA 94063
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Secondary Practice Location 1

Location 11200 El Camino RealSouth San Francisco, CA 94080-3208 · Phone (650) 742-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Pathoulas 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.

PECOS PAC ID446632418
PECOS Enrollment IDI20250630004274
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIEL ENRIQUE MOLINA MD
Dermatology
450 BROADWAY ST FL B4
REDWOOD CITY, CA 94063
San Mateo County (650) 723-6316

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 James Pathoulas's NPI number?

The NPI number for James Pathoulas is 1972244051. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is James Pathoulas located?

James Pathoulas practices at 450 Broadway St Fl B4, Redwood City, CA 94063. The listed phone number is (650) 723-6316.

What is James Pathoulas's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is James Pathoulas enrolled in Medicare?

Yes. James Pathoulas 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.

When was this NPI record last updated?

The NPPES record for James Pathoulas was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.