Maged S. Mikhail, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G45367 Issued in CA

Practice address

18344 Clark Street
Suite #202
Tarzana, CA 91356-2812

Phone

(818) 654-0520

Fax

(818) 654-0520

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of Florida College of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West la Medical GroupGroup PAC ID 1658735568, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• West la Medical Group

  • Surgery Physician
  • Encino, CA
  • NPI 1598462749
  Medicare reassignment Care Compare group NPD
• Pacific Valley Medical Group

  • Anesthesiology Physician
  • Pasadena, CA
  • NPI 1851312862
  Medicare reassignment NPD
• Tarzana Anesthesia Medical Group, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Tarzana, CA
  • NPI 1508897463
  Medicare reassignment NPD
• Mount Sinai Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tarzana, CA
  • NPI 1427369503
  NPD (past)
• Prestige Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tarzana, CA
  • NPI 1902587637
  NPD (past)
• Uscan Anesthesiology Medical Group, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Angeles, CA
  • NPI 1740227123

  Anesthesiology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1316978299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 573446",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913573446",
            "telephone_number": "818-654-0520",
            "fax_number": "818-654-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18344 CLARK STREET",
            "address_2": "SUITE #202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562812",
            "telephone_number": "818-654-0520",
            "fax_number": "818-654-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAIL",
        "first_name": "MAGED",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G45367",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G45367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G453670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Madievsky,M.D.
• Michael S. Malamed, M.D., a Medical Corporation
• Susan Tracey Migdalski
• Mike Imberman D M D Inc a Professional Corporation
• Georges Mikhael, PHARM.D.
• Mokhtar Mikhail, M.D.
• Paul Milberg, MD
• Honey Milestone, M.D.
• Amanda Brault Miller, M.S. CCC-SLP
• Dawn Racquel Miller

• Vascular Surgery Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.

Verify at the official NPI Registry.