Individual provider Active NPI

Michelle Tara Rook, M.D.

  • Pediatric Gastroenterology Physician
  • Palo Alto, CA
National Provider Identifier
1134369903
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
2021-02831 Issued in NC
Practice address
725 Welch Rd
Palo Alto, CA 94304
Phone
(650) 497-8000
NPI assigned
Mar 5, 2009
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X ME117396 FL
Pediatric Gastroenterology Physician 2080P0206X A101371 CA
Pediatric Gastroenterology Physician 2080P0206X 2021-02831 NC Primary
Pediatric Gastroenterology Physician 2080P0206X MD439727 PA

Addresses

Primary practice location

725 Welch Rd
Palo Alto, CA 94304

Mailing address

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000

Other practice location 1

2 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 974-2201

Other identifiers 3

IdentifierTypeStateIssuer
110920300MedicaidFL
14SE8OtherFLBLUE CROSS BLUE SHIELD
009617500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrook193525@direct.tgh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, 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
I20140225000830 FL Practitioner - GastroenterologyPractitioner - Pediatric Medicine 5092846675 Reassigns benefits to 1 organization
I20180710003634 CA Practitioner - Pediatric Medicine 5092846675 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD439727PAMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
University of California San Francisco CurrentSince Nov 16, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 16, 2021 Accepting new patients
UCSF Pediatrics Associates Pediatric Gastroenterology CurrentSince Nov 16, 2021 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince May 21, 2018 Accepting new patients
Valley Children's Medical Group CurrentSince Feb 4, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 16, 2021 Accepting new patients
University of California San Francisco CurrentSince Nov 16, 2021 Accepting new patients
Pediatric Gastroenterology Hepatology & Nutrition of FL P a Pediatric Gastroenterology CurrentSince Dec 22, 2013 Accepting new patients
University of California San Francisco Pediatric Gastroenterology Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Pediatric Pulmonary Associates P.a. Past Accepting new patients

Locations

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

9400 Gladiolus Dr
Ste 100
Fort Myers, FL 33908
Phone (239) 223-0484

5640 Main St
New Pt Richey, FL 34652
Phone (727) 822-4300

2901 58th Ave N
St Petersburg, FL 33714

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mrook193525@direct.tgh.org
  • Direct secure messaging: mrook215836@direct-ucsfmedicalcenter.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1134369903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-497-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-497-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Tampa General Cir",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063571",
            "country_code": "US",
            "telephone_number": "813-974-2201",
            "fax_number": "813-974-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOK",
        "first_name": "MICHELLE",
        "middle_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME117396",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "A101371",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NC",
            "license": "2021-02831",
            "primary": true
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PA",
            "license": "MD439727",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110920300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14SE8",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009617500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrook193525@direct.tgh.org",
            "affiliation": "N",
            "address_1": "2 Tampa General Cir",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.