Individual provider Active NPI

Michael Steele, M.D.

  • Internal Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1396768115
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C51131 Issued in CA
Practice address
1941 Johnson Ave Ste 204
San Luis Obispo, CA 93401-4159
Phone
(805) 543-4347
Fax
(805) 543-2083
NPI assigned
Jul 25, 2006
Last updated
Nov 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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 C51131 CA Primary

Addresses

Primary practice location

1941 Johnson Ave Ste 204
San Luis Obispo, CA 93401-4159

Mailing address

1941 Johnson Ave Ste 204
San Luis Obispo, CA 93401-4159
Phone (805) 543-4347

Other identifiers 2

IdentifierTypeStateIssuer
00C511310OtherCABLUE SHIELD
00C511310MedicaidCA

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
I20040908000751 CA Practitioner - Internal Medicine 1759357031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51131CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners Internal Medicine CurrentSince Jan 2, 2017 Accepting new patients
First Choice Physician Partners CurrentSince Jan 2, 2017 Accepting new patients
The Centre for Internal Medicine PA Internal Medicine Past Accepting new patients

Locations

1325 N Rose Dr
Ste 100
Placentia, CA 92870
Phone (714) 729-0103

1035 Peach St
Ste 301
Sn Luis Obisp, CA 93401
Phone (805) 250-3380

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1396768115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 JOHNSON AVE STE 204",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014159",
            "telephone_number": "805-543-4347",
            "fax_number": "805-543-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 JOHNSON AVE STE 204",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014159",
            "telephone_number": "805-543-4347",
            "fax_number": "805-543-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00C511310",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C511310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.