NPIMap

Individual provider Active NPI

Michael D. Ingegno, M.D.

  • Vascular Surgery Physician
  • San Leandro, CA
National Provider Identifier
1447270459
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G68202 Issued in CA
Practice address
13851 E 14TH St
Suite 202
San Leandro, CA 94578-2631
Phone
(510) 347-4700
Fax
(510) 347-4712
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X G68202 CA Primary

Addresses

Primary practice location

13851 E 14TH St
Suite 202
San Leandro, CA 94578-2631

Mailing address

13851 E 14TH St
Suite 202
San Leandro, CA 94578-2631
Phone (510) 347-4700

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
I20040922000432 CA Practitioner - Vascular Surgery 6406824952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
State University of Ny Upstate Medical University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
General Vascular Surgery Medical Group IncGroup PAC ID 1951390137, 5 clinicians

Practice addresses (Care Compare)

13851 E 14TH St
201 202
San Leandro, CA 94578-2631
Phone (510) 347-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.71 of 100Reported as individual
Quality
70.89
Promoting interoperability
87
Improvement activities
40
Cost
95.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal73
Leg revascularization (restoring blood flow)29
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G68202CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Blood Flow Assoc LLC Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Alameda Health System Past Accepting new patients
South Miami Blood Flow Associates LLC Past Accepting new patients
California Pacific Medical Group, Inc. PastSince Aug 5, 2004 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mingegno141855@hisp.ehr.sutterhealth.org
  • Direct secure messaging: mingegno14248@alamedahs.direct-ci.com
  • Direct secure messaging: michael.ingegno.1@1920.direct.athenahealth.com

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 7

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1447270459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST",
            "address_2": "SUITE 202",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782631",
            "telephone_number": "510-347-4700",
            "fax_number": "510-347-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST",
            "address_2": "SUITE 202",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782631",
            "telephone_number": "510-347-4700",
            "fax_number": "510-347-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGEGNO",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G68202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.