Look up the most recent NPI and PECOS records

Henry N. Kirolos

Internal Medicine

Allopathic & Osteopathic Physicians

1245 16th St Ste 125, Santa Monica, CA 90404-1240

PECOS Enrollment

This provider is enrolled in PECOS as HENRY KIROLOS.

Based on the most recent information from CMS, provider Henry N. Kirolos is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1215136098
Provider Type
Individual
Full Name
Kirolos, Henry N.
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
7/12/2007
Last Updated
2/25/2020

Contact Information

Practice Location

1245 16th St Ste 125, Santa Monica, CA 90404-1240

(310) 315-8900

Unlisted Fax

Mailing Location

1245 16th St Ste 125, Santa Monica, CA 90404-1240

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A107771 California
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License A107771 California

Henry N. Kirolos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Patanwala, Maria Yousuf

Simpler, Laura Diane

Soliman, Sarah Grace

Suraweera, Ashley

Ho, Gavin Kume-Fung

Ahmed, Rafi Syed

Ma, Janet M

Rawson, Delaney Marguerite Wolf

Solis-Cohen, Adam

Garvey, Sarah Lauren