Individual provider Active NPI

Michael Lucius Pomerantz, MD

  • Orthopaedic Hand Surgery Physician
  • San Diego, CA
National Provider Identifier
1356505705
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A109105 Issued in CA
Practice address
4445 Eastgate Mall Ste 105
San Diego, CA 92121
Phone
(619) 421-3400
Fax
(619) 421-3557
NPI assigned
Jul 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 60918 CA
Orthopaedic Hand Surgery Physician 207XS0106X A109105 CA Primary

Addresses

Primary practice location

4445 Eastgate Mall Ste 105
San Diego, CA 92121

Mailing address

955 Lane Ave
Suite 200
Chula Vista, CA 91914-4525
Phone (619) 421-3400

Other practice location 1

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 657-8200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160120002245 CA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 3971720749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of California, San Diego School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

200 W Arbor Dr
San Diego, CA 92103-1910
Phone (858) 657-7000

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

955 Lane Ave
Suite 200
Chula Vista, CA 91914-4525
Phone (619) 421-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)16
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109105CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 1, 2015 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Nov 30, 2015 Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2018 Accepting new patients
Regents of the University of California Orthopaedic Surgery CurrentSince Aug 1, 2018 Accepting new patients
Synergy Orthopedic Specialists, Inc. Orthopaedic Surgery CurrentSince Nov 30, 2015 Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Regents of the University of California Past Accepting new patients
CC Bpci PLC Orthopaedic Surgery Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients

Locations

955 Lane Ave
Ste 200
Chula Vista, CA 91914
Phone (619) 421-3400

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

9350 Campus Point Dr
La Jolla, CA 92037
Phone (858) 657-0583

4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450

4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175

9095 Rio San Diego Dr
Ste 450
San Diego, CA 92108
Phone (619) 853-8860

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

3444 Kearny Villa Rd
Ste 401
San Diego, CA 92123
Phone (619) 421-3400

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

41715 Winchester Rd
Ste 101
Temecula, CA 92590
Phone (858) 616-6400

27250 Via Industria
#A
Temecula, CA 92590
Phone (858) 616-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mpomerantz35924@scrippshlth.medalliesdirect.net

Organizations & group practices 14

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 14

Hospital & facility affiliations 2

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1356505705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 LANE AVE",
            "address_2": "SUITE 200",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144525",
            "telephone_number": "619-421-3400",
            "fax_number": "619-421-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 EASTGATE MALL STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "619-421-3400",
            "fax_number": "619-421-3557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "858-657-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMERANTZ",
        "first_name": "MICHAEL",
        "middle_name": "LUCIUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "60918",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A109105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.