Individual provider Active NPI

Michael Gary Michlitsch, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Walnut Creek, CA
National Provider Identifier
1023125259
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A80093 Issued in CA
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

Updated by the provider on Nov 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070629000217 CA Practitioner - Orthopedic Surgery 4284733486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Golden State Orthopedics and SpineGroup PAC ID 8224940739, 186 clinicians
John Muir Trauma Physicians Billing ServiceGroup PAC ID 3476542515, 111 clinicians

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 Hospital, San Ramon, CA, CCN 050689
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496

Merit-based Incentive Payment System (MIPS)

Final score
83.63 of 100Reported as group
Quality
67.56
Improvement activities
40
Cost
71.56

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
A80093CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine Sports Medicine Current Accepting new patients
Golden State Orthopedics & Spine Sports Medicine CurrentSince Aug 1, 2007 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Aug 1, 2007 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Apr 6, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.