Active NPI
Michael R. Snell, MD
- Hematology & Oncology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- C160021
- Practice address
- 1513 S Grand Ave Ste 360
Los Angeles, CA 90015 - Phone
- (562) 735-3226
- NPI assigned
- May 2, 2007
- Last updated
- Nov 10, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 01079673A | IN | |
| Hematology & Oncology Physician | 207RH0003X | 35088140 | OH | |
| Hematology & Oncology Physician | 207RH0003X | C160021 | CA | Primary |
Addresses
Primary practice location
1513 S Grand Ave Ste 360
Los Angeles, CA 90015
Mailing address
18000 Studebaker Rd Ste 800
Cerritos, CA 90703-2671
Phone (562) 735-3226
Other practice location 1
165 S 48th St
Richmond, IN 47374-6010
Phone (216) 469-1172
Other practice location 2
2601 W Alameda Ave Ste 300
Burbank, CA 91505-4814
Phone (818) 806-9020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msnell1139362@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, HI, MI, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Pleasant St
Suite 250
Des Moines, IA 50309-1423
Phone (515) 241-4674
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C160021 | CA | MD | Hematology & Oncology Physician |
| 35088140 | OH | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Southwest General Medical Group Inc | Current | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| McLaren Bay Region | Current | Accepting new patients | |
| Southwest General Medical Group Inc | Current | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Southwest General Medical Group, Inc. | Current | Accepting new patients | |
| McLaren Bay Region | Current | Accepting new patients |
Locations
1849 Wili Pa Loop
Wailuku, HI 96793
Phone (808) 242-2010
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
85 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 442-5700
410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101
1221 Pleasant St
Ste 250
Des Moines, IA 50309
Phone (515) 241-4674
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
3140 W Campus Dr
Bay City, MI 48706
Phone (989) 667-2370
3140 W Campus Dr
Ste 194
Bay City, MI 48706
Phone (989) 667-2381
2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390
Interoperability endpoints
- msnell1139362@oc.providencedirect.org
- msnell1214071@direct.unitypoint.org
- msnell248756@direct.metrohealth.org
Organizations & group practices 13
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.
-
dba East Des Moines Family Care Center
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
dba Maui Memorial Medical Center
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
-
- Family Medicine Physician
- Bay City, MI
- NPI 1508131087
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1134239676
-
dba Metrohealth Professional Group
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
-
dba IMMC Outpatient Pharmacy
- Pharmacy
- Des Moines, IA
- NPI 1003352949
-
dba Skilled Nursing and Intermediate Care Facility Kula Hospital
- Nursing Facility/Intermediate Care Facility
- Kula, HI
- NPI 1184079956
-
- Specialist
- Wailuku, HI
- NPI 1669834016
-
- Psychiatry Physician
- Bay City, MI
- NPI 1942560339
-
- Durable Medical Equipment & Medical Supplies
- Middleburg HTS, OH
- NPI 1588393979
-
- Family Medicine Physician
- Strongsville, OH
- NPI 1841349537
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Iowa Lutheran Hospital
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
dba Iowa Methodist Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
-
dba Iowa Methodist Medical Center-Methodist West
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1215158423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 STUDEBAKER RD STE 800",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032671",
"telephone_number": "562-735-3226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 S GRAND AVE STE 360",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90015",
"telephone_number": "562-735-3226"
}
],
"practiceLocations": [
{
"address_1": "165 S 48th St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "IN",
"postal_code": "473746010",
"country_code": "US",
"telephone_number": "216-469-1172",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2601 W Alameda Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Burbank",
"state": "CA",
"postal_code": "915054814",
"country_code": "US",
"telephone_number": "818-806-9020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNELL",
"first_name": "MICHAEL",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01079673A",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "35088140",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "C160021",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msnell1139362@oc.providencedirect.org",
"affiliation": "N",
"address_1": "2700 Dolbeer St",
"city": "Eureka",
"state": "CA",
"country_code": "US",
"postal_code": "955014736",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.