Individual provider Active NPI

Michael Borg Limberg, M.D.

  • Ophthalmology Physician
  • San Luis Obispo, CA
National Provider Identifier
1063569655
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G062604 Issued in CA
Practice address
1270 Peach St
San Luis Obispo, CA 93401-2856
Phone
(805) 541-1342
Fax
(805) 541-5836
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G062604 CA Primary

Addresses

Primary practice location

1270 Peach St
San Luis Obispo, CA 93401-2856

Mailing address

1270 Peach St
San Luis Obispo, CA 93401-2856
Phone (805) 541-1342

Other identifiers 1

IdentifierTypeStateIssuer
00G626040MedicaidCA

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
I20090610000096 CA Practitioner - Ophthalmology 9931196011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Limberg Eye Surgery a Medical CorporationGroup PAC ID 4688661747, 4 clinicians

Practice addresses (Care Compare)

1270 Peach St
Suite 100
San Luis Obispo, CA 93401-2821
Phone (805) 541-1342

Hospital & facility affiliations

  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Merit-based Incentive Payment System (MIPS)

Final score
23.15 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery149
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62604CAMDGeneral Practice Dentistry
G062604CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Community Care Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients

Organizations & group practices 3

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 1

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063569655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 PEACH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012856",
            "telephone_number": "805-541-1342",
            "fax_number": "805-541-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 PEACH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012856",
            "telephone_number": "805-541-1342",
            "fax_number": "805-541-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMBERG",
        "first_name": "MICHAEL",
        "middle_name": "BORG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G062604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G626040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.