Active NPI
Michael Kien Ninh, MD
- Family Medicine Physician
- Rancho Mirage, CA
National Provider Identifier
1194308874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A191337
- Practice address
- 72057 Highway 111
Rancho Mirage, CA 92270-4927 - Phone
- (760) 619-3053
- NPI assigned
- Apr 30, 2021
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A191337 | CA | Primary |
Addresses
Primary practice location
72057 Highway 111
Rancho Mirage, CA 92270-4927
Mailing address
72057 Highway 111
Rancho Mirage, CA 92270-4927
Phone (760) 619-3053
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
69175 Ramon Rd
BLDG a
Cathedral City, CA 92234-3344
Phone (760) 321-6776
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A191337 | CA | MD | Family Medicine Physician |
Interoperability endpoints
- michael.ninh.p1@direct.cdsdp.nextgenshare.com
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1306464326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1194308874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72057 HIGHWAY 111",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704927",
"telephone_number": "760-619-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72057 HIGHWAY 111",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704927",
"telephone_number": "760-619-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NINH",
"first_name": "MICHAEL",
"middle_name": "KIEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-30",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A191337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.