NPIMap

Individual provider Active NPI

Michelle M. Inserra, MD

  • Otolaryngology Physician
  • San Jose, CA
National Provider Identifier
1356428205
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A73027 Issued in CA
Practice address
3071 Payne Ave
San Jose, CA 95128-4054
Phone
(408) 540-5400
Fax
(408) 540-5419
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A73027 CA Primary

Addresses

Primary practice location

3071 Payne Ave
San Jose, CA 95128-4054

Mailing address

3071 Payne Ave
San Jose, CA 95128-4054
Phone (408) 540-5400

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
I20040712001619 CA Practitioner - Otolaryngology 3870571136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Stanford University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical Group 292 clinicians

Practice addresses (Care Compare)

15899 Los Gatos Almaden Rd
Suite 12
Los Gatos, CA 95032-3739
Phone (408) 358-2663

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

3071 Payne Ave
San Jose, CA 95128-4054
Phone (408) 540-5400

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73027CAMDOtolaryngology Physician

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Bass Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Bass Medical Group Otolaryngology Current Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Bass Medical Group Past Accepting new patients
O'Connor Hospital Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

15899 Los Gatos Almaden Rd
Ste 12
Los Gatos, CA 95032
Phone (408) 358-2663

3071 Payne Ave
San Jose, CA 95128
Phone (408) 540-5400

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: minserra120670@ehr.johnmuirhealth.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 3

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1356428205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 PAYNE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284054",
            "telephone_number": "408-540-5400",
            "fax_number": "408-540-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 PAYNE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284054",
            "telephone_number": "408-540-5400",
            "fax_number": "408-540-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INSERRA",
        "first_name": "MICHELLE",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A73027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.