Individual provider Active NPI

Ming-Tyh Maa, M.D.

  • Pulmonary Disease Physician
  • Walnut Creek, CA
National Provider Identifier
1073718722
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A111888 Issued in CA
Practice address
2700 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598-3462
Phone
(925) 939-3050
Fax
(925) 939-3057
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A111888 CA
Pulmonary Disease Physician 207RP1001X A111888 CA Primary

Addresses

Primary practice location

2700 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598-3462

Mailing address

2700 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598-3462
Phone (925) 939-3050

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
I20100724000182 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8628100757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Eastern Virginia Medical School, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Muir Pulmonary Critical CareGroup PAC ID 3476449943, 13 clinicians

Practice addresses (Care Compare)

1601 Ygnacio Vly Rd
Walnut Creek, CA 94596-0921
Phone (925) 939-3000

2700 Ygnacio Valley Rd
Suite 100
Walnut Creek, CA 94598-3462
Phone (925) 939-3050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.62 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
70.52

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111888CAMDDentist
A111888CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muir Pulmonary Critical Care Critical Care Medicine CurrentSince Jun 24, 2010 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Mar 27, 2011 Accepting new patients
John Muir Physician Network Past Accepting new patients

Locations

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1399 Ygnacio Valley Rd
Ste 14
Walnut Creek, CA 94598
Phone (925) 934-4123

2700 Ygnacio Valley Rd
Ste 100
Walnut Creek, CA 94598
Phone (925) 939-3050

Interoperability endpoints

  • Direct secure messaging: mmaa16846@ehr.johnmuirhealth.com

Organizations & group practices 4

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 2

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1073718722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 YGNACIO VALLEY RD STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983462",
            "telephone_number": "925-939-3050",
            "fax_number": "925-939-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 YGNACIO VALLEY RD STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983462",
            "telephone_number": "925-939-3050",
            "fax_number": "925-939-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAA",
        "first_name": "MING-TYH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A111888",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A111888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.