NPIMap

Individual provider Active NPI

Michael Gensheimer, M.D.

  • Radiation Oncology Physician
  • Palo Alto, CA
National Provider Identifier
1407172687
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
134180 Issued in CA
Practice address
875 Blake Wilbur Dr
MC 5847
Palo Alto, CA 94304-2205
Phone
(650) 723-6171
Fax
(650) 725-8231
NPI assigned
Apr 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 134180 CA Primary

Addresses

Primary practice location

875 Blake Wilbur Dr
MC 5847
Palo Alto, CA 94304-2205

Mailing address

875 Blake Wilbur Dr
MC 5847
Palo Alto, CA 94304-2205
Phone (650) 723-6171

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
I20150629002829 CA Practitioner - Radiation Oncology 7618292673 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Vanderbilt University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

5725 W Las Positas Blvd
Pleasanton, CA 94588-4007

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Jun 1, 2015 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Jun 1, 2015 Accepting new patients
Stanford Health Care CurrentSince Jun 1, 2015 Accepting new patients
University Healthcare Alliance CurrentSince Dec 3, 2018 Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
The Hospital Committee for the Livermore-Pleasanton Areas Past Accepting new patients

Locations

875 Blake Wilbur Dr
Palo Alto, CA 94304
Phone (650) 723-7621

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

875 Blake Wilbur Dr
#5847
Palo Alto, CA 94304

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

5725 W Las Positas Blvd
Ste 100B
Pleasanton, CA 94588
Phone (925) 621-7700

5725 W Las Positas Blvd
#102
Pleasanton, CA 94588

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

5725 W Las Positas Blvd
Ste 102
Pleasanton, CA 94588

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mgensheimer134650@direct.stanfordhealthcare.org

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1407172687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DR",
            "address_2": "MC 5847",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042205",
            "telephone_number": "650-723-6171",
            "fax_number": "650-725-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DR",
            "address_2": "MC 5847",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042205",
            "telephone_number": "650-723-6171",
            "fax_number": "650-725-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENSHEIMER",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "134180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.