Active NPI
Michael Chammout, M.D.
- Anesthesiology Physician
- Greenbrae, CA
National Provider Identifier
1184719015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G68646
- Practice address
- 575 Sir Francis Drake Blvd Ste 3
Greenbrae, CA 94904-2307 - Phone
- (415) 302-0140
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G68646 | CA | Primary |
Addresses
Primary practice location
575 Sir Francis Drake Blvd Ste 3
Greenbrae, CA 94904-2307
Mailing address
PO Box 1
Corte Madera, CA 94976-0001
Phone (888) 991-1101
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040408001043 | CA | Practitioner - Anesthesiology | 4789678202 | Practice locations: Greenbrae, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1184719015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949760001",
"telephone_number": "888-991-1101",
"fax_number": "903-787-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 SIR FRANCIS DRAKE BLVD STE 3",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949042307",
"telephone_number": "415-302-0140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMMOUT",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G68646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.