Active NPI
Michael Hallenbeck, M.D.
- Diagnostic Radiology Physician
- Grass Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A75602
- Practice address
- 155 Glasson Way
Grass Valley, CA 95945-5723 - Phone
- (530) 274-6107
- Fax
- (530) 274-6059
- NPI assigned
- Jul 20, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A75602 | CA | Primary |
Addresses
Primary practice location
155 Glasson Way
Grass Valley, CA 95945-5723
Mailing address
PO Box 496084
Redding, CA 96049-6084
Phone (530) 241-0473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A756021 | Medicaid | CA |
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 |
|---|---|---|---|---|
| I20040729001168 | CA | Practitioner - Diagnostic Radiology | 4981674512 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Maryland School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tahoe Forest Hospital DistrictDignity Health Medical Foundation
Practice addresses (Care Compare)
10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 587-6011
155 Glasson Way
Suite L 10
Grass Valley, CA 95945-5723
Phone (530) 274-6677
1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800
1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800
3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319
Hospital & facility affiliations
- Sierra Nevada Memorial Hospital
- Tahoe Forest Hospital
- Sutter Auburn Faith Hospital
- University of California Davis Medical Center
- Plumas District Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.06 of 100
- Quality
- 83.97
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 42.89
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.99 of 100
- Quality
- 85.19
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A75602 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Tahoe Forest Hospital District | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Tahoe Forest Hospital District | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Tahoe Forest Hospital District | Current | Accepting new patients | |
| Tahoe Forest Hospital District | Current | Accepting new patients | |
| Grass Valley Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Dignity Health Medical Foundation | Past | Accepting new patients |
Locations
6305 Coyle Ave
Carmichael, CA 95608
Phone (916) 961-6920
155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000
2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500
1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111
10956 Donner Pass Rd
Ste 230
Truckee, CA 96161
Phone (530) 582-3277
10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220
10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461
880 Alder Ave
Incline Vlg, NV 89451
Phone (775) 831-6200
Organizations & group practices 17
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.
-
- Rural Health Clinic/Center
- Truckee, CA
- NPI 1760038772
-
- Rural Health Clinic/Center
- Truckee, CA
- NPI 1255835906
-
- Rural Health Clinic/Center
- Truckee, CA
- NPI 1285174169
-
- Skilled Nursing Facility
- Truckee, CA
- NPI 1295897395
-
- Community Based Hospice Care Agency
- Truckee, CA
- NPI 1497811012
-
- Community/Retail Pharmacy
- Truckee, CA
- NPI 1538174123
-
- Home Health Agency
- Truckee, CA
- NPI 1831251933
-
- Medicare Defined Swing Bed Hospital Unit
- Truckee, CA
- NPI 1932261039
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
Hospital
-
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296086400000",
"number": "1285654145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 496084",
"city": "REDDING",
"state": "CA",
"postal_code": "960496084",
"telephone_number": "530-241-0473",
"fax_number": "530-241-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 GLASSON WAY",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455723",
"telephone_number": "530-274-6107",
"fax_number": "530-274-6059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLENBECK",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2011-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A75602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A756021",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.