NPIMap

Individual provider Active NPI

Michael Zach Koontz, MD

  • Internal Medicine Physician
  • Monterey, CA
National Provider Identifier
1245410588
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A105130 Issued in CA
Practice address
5 Harris CT BLDG T
201
Monterey, CA 93940-5750
Phone
(831) 375-4105
Fax
(831) 655-1277
NPI assigned
Nov 4, 2007
Last updated
Jul 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A105130 CA Primary

Addresses

Primary practice location

5 Harris CT BLDG T
201
Monterey, CA 93940-5750

Mailing address

5 Harris CT BLDG T
201
Monterey, CA 93940-5750
Phone (831) 375-4105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091211000199 CA Practitioner - Medical OncologyPractitioner - Internal Medicine 7911047691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
University of California, Irvine, California College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monterey Bay Oncology a Medical CorporationGroup PAC ID 6507826856, 14 clinicians

Practice addresses (Care Compare)

5 Harris CT
Suite 201
Monterey, CA 93940-5750
Phone (831) 375-4105

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.61
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A105130CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 20, 2014 Accepting new patients
Monterey Bay Oncology a Medical Corporation CurrentSince Jul 7, 2014 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Monterey Bay Oncology a Medical Corporation PastSince Jul 7, 2014 Accepting new patients

Locations

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

5 Harris Ct
Bldg T
Monterey, CA 93940
Phone (408) 375-4105

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1194134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1245410588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT BLDG T",
            "address_2": "201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-375-4105",
            "fax_number": "831-655-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT BLDG T",
            "address_2": "201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-375-4105",
            "fax_number": "831-655-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "MICHAEL",
        "middle_name": "ZACH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-04",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A105130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.