JULIAN W KLOS (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1023062635

JULIAN W KLOS (MD) is a healthcare provider. based in Stockton, California. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. MD00038004 (WA). The NPI Number for JULIAN W KLOS (MD) is 1023062635

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
JULIAN W KLOS (MD)
NPI
1023062635
Phone
(209) 956-7725
Address
PO BOX 7096
Enumeration Date
19 May 2006
Last Update Date
12 January 2009

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4256885000
Graduation Year
1995 (31 years ago)
PAC ID
4880655836
Group Practice PAC ID
3971403700
Professional Enrollment ID
I20041022000419
Address ID
WA980044604BE1035XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,517 ANESTHESIOLOGY in WA

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Provider Addresses for JULIAN W KLOS (MD)

  • Stockton Post Office, 401, North San Joaquin Street, Stockton, San Joaquin County, California, 95202, United States

    STOCKTON, CA 952670096

    Phone: (209) 956-7725

    Fax: (209) 956-7733

    Type: Mailing

  • EvergreenHealth Kirkland, 12040, Northeast 128th Street, Kirkland, King County, Washington, 98034, United States

    KIRKLAND, WA 980343013

    Phone: (425) 899-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041022000419IAnesthesiologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95267)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971403700View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
-WA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YDC

Reviews

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Frequently asked questions

Does JULIAN W KLOS (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JULIAN W KLOS (MD) uses 1023062635.
Does the file indicate JULIAN W KLOS (MD) is practicing under active NPI?
Directory data currently reports JULIAN W KLOS (MD) as active.
What is JULIAN W KLOS (MD)'s specialty?
The listing groups JULIAN W KLOS (MD) with Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JULIAN W KLOS (MD)?
JULIAN W KLOS (MD)'s geographic hint is Stockton, California in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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