Active NPI
Michael Gary Michlitsch, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- A80093
- Practice address
- 2625 Shadelands Dr
Walnut Creek, CA 94598-2512 - Phone
- (925) 939-8585
- Fax
- (925) 933-2709
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A80093 | CA | Primary |
Addresses
Primary practice location
2625 Shadelands Dr
Walnut Creek, CA 94598-2512
Mailing address
PO Box 31396
Walnut Creek, CA 94598-8396
Phone (925) 939-8585
Other practice location 1
5201 Norris Canyon Rd Ste 300
San Ramon, CA 94583-5405
Phone (925) 939-8585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
101 Sand Creek Rd
Suite B
Brentwood, CA 94513-2540
Phone (925) 939-8585
1601 Ygnacio Vly Rd
Walnut Creek, CA 94596-0921
Phone (925) 939-3000
2405 Shadelands Dr
Walnut Creek, CA 94598-2444
Phone (925) 939-8585
2625 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 939-8585
3315 Broadway
Oakland, CA 94611-5717
Phone (800) 943-8099
5201 Norris Canyon Rd
San Ramon, CA 94583-5405
Phone (925) 939-8585
Hospital & facility affiliations
- San Ramon Regional Medical Center
- John Muir Medical Center - Walnut Creek Campus
- John Muir Medical Center - Concord Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.63 of 100
- Quality
- 67.56
- Improvement activities
- 40
- Cost
- 71.56
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80093 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Orthopedics & Spine | Sports Medicine | Current | Accepting new patients |
| Golden State Orthopedics & Spine | Sports Medicine | Current | Accepting new patients |
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| San Ramon Regional Medical Center, LLC | Past | Accepting new patients | |
| Golden State Orthopedics & Spine | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients |
Locations
350 John Muir Pkwy
Ste 155
Brentwood, CA 94513
5201 Norris Canyon Rd
Ste 230
San Ramon, CA 94583
Phone (925) 244-9355
5201 Norris Canyon Rd
Ste 300
San Ramon, CA 94583
Phone (925) 866-8720
2625 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 210-8500
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- michael.michlitsch@direct.muirortho.nextgenshare.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Walnut Creek, CA
- NPI 1972552990
Sports Medicine
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Orthopaedic Surgery Physician
- San Jose, CA
- NPI 1245021401
-
- Orthopaedic Surgery Physician
- Walnut Creek, CA
- NPI 1821488966
Sports Medicine
-
- Trauma Surgery Physician
- Walnut Creek, CA
- NPI 1962551861
-
- Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1457004897
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
- General Acute Care Hospital
- San Ramon, CA
- NPI 1932131489
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
- General Acute Care Hospital
- San Ramon, CA
- NPI 1932131489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1023125259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31396",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945988396",
"telephone_number": "925-939-8585",
"fax_number": "925-933-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 SHADELANDS DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982512",
"telephone_number": "925-939-8585",
"fax_number": "925-933-2709"
}
],
"practiceLocations": [
{
"address_1": "5201 Norris Canyon Rd Ste 300",
"address_purpose": "LOCATION",
"city": "San Ramon",
"state": "CA",
"postal_code": "945835405",
"country_code": "US",
"telephone_number": "925-939-8585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHLITSCH",
"first_name": "MICHAEL",
"middle_name": "GARY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "A80093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.