Individual provider Active NPI

Michael Alexander Hajek, MD

  • Otolaryngology Physician
  • Santa Cruz, CA
National Provider Identifier
1114456639
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
1016968 Issued in MA
Practice address
550 Water St Ste a
Santa Cruz, CA 95060-4126
Phone
(831) 476-4414
Fax
(831) 476-0264
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 1016968 MA Primary

Addresses

Primary practice location

550 Water St Ste a
Santa Cruz, CA 95060-4126

Mailing address

550 Water St Ste a
Santa Cruz, CA 95060-4126

Other practice location 1

243 Green Valley Rd Ste B
Freedom, CA 95019-3133
Phone (831) 724-9449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231031003227 MA Practitioner - Otolaryngology 6507137536 Reassigns benefits to 2 organizations
I20241115002926 CA Practitioner - Otolaryngology 6507137536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Yale University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

550 Water St
Suite a
Santa Cruz, CA 95060-4126
Phone (831) 476-4414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue49
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Otolaryngology Current Accepting new patients
Bass Medical Group CurrentSince Dec 2, 2024 Accepting new patients
Bass Medical Group CurrentSince Dec 2, 2024 Accepting new patients
Lahey Clinic, Inc CurrentSince Oct 1, 2023 Accepting new patients
Lahey Clinic, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

243 Green Valley Rd
Ste B
Freedom, CA 95019
Phone (831) 724-9449

550 Water St
Ste A
Santa Cruz, CA 95060
Phone (831) 425-0420

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

Interoperability endpoints

  • Direct secure messaging: mhajek230270@direct.bilh.masshiway.net

Organizations & group practices 6

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1114456639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WATER ST STE A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604126",
            "fax_number": "781-744-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WATER ST STE A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604126",
            "telephone_number": "831-476-4414",
            "fax_number": "831-476-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Green Valley Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Freedom",
            "state": "CA",
            "postal_code": "950193133",
            "country_code": "US",
            "telephone_number": "831-724-9449",
            "fax_number": "831-724-1971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAJEK",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "1016968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.