Individual provider Active NPI

Michelle M Fiore, MD

  • Dermatology Physician
  • San Carlos, CA
National Provider Identifier
1073581070
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G57878 Issued in CA
Practice address
1010 Laurel St
San Carlos, CA 94070-3919
Phone
(650) 591-8501
Fax
(650) 591-8505
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G57878 CA Primary

Addresses

Primary practice location

1010 Laurel St
San Carlos, CA 94070-3919

Mailing address

1010 Laurel St
San Carlos, CA 94070-3919
Phone (650) 591-8501

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
I20071208000160 CA Practitioner - DermatologyPractitioner - Internal Medicine 1355430661 Receives reassigned benefits from 3 practitioners
Practice locations: San Carlos, CA

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1010 Laurel St
San Carlos, CA 94070-3919
Phone (650) 591-8501

Hospital & facility affiliations

  • Sequoia Hospital Hospital, Redwood City, CA, CCN 050197

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as individual
Quality
69.8
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision35
Removal of skin lesions2120
Skin biopsy268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G57878CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Hospital Past Accepting new patients
Sequoia Health Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mfiore@fiorederm.emadirect.md

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1073581070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LAUREL ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703919",
            "telephone_number": "650-591-8501",
            "fax_number": "650-591-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAUREL ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703919",
            "telephone_number": "650-591-8501",
            "fax_number": "650-591-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORE",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G57878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

Verify at the official NPI Registry.