NPIMap

Individual provider Active NPI

Michael Eugene Dicus, MD

  • Nephrology Physician
  • Salinas, CA
National Provider Identifier
1447339452
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A669020 Issued in CA
Practice address
917 Blanco Circle
Salinas, CA 93901-4446
Phone
(831) 755-7999
Fax
(831) 755-7975
NPI assigned
Nov 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A669020 CA Primary

Addresses

Primary practice location

917 Blanco Circle
Salinas, CA 93901-4446

Mailing address

917 Blanco Circle
Salinas, CA 93901-4446
Phone (831) 755-7999

Other identifiers 1

IdentifierTypeStateIssuer
00A669020MedicaidCA

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
I20101123000276 CA Practitioner - Nephrology 9739241365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Virginia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians

Practice addresses (Care Compare)

1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235

8095 Camino Arroyo
Suite 200
Gilroy, CA 95020-7304
Phone (408) 847-2200

917 Blanco Cir
Salinas, CA 93901-4446
Phone (831) 755-7999

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A669020CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Aug 25, 2010 Accepting new patients
County of Monterey CurrentSince Aug 25, 2010 Accepting new patients
Central Coast Nephrology Medical Corporation Nephrology CurrentSince Jul 29, 2002 Accepting new patients
County of Santa Clara Past Accepting new patients
Salinas Valley Memorial Healthcare System Past Accepting new patients
County of Monterey Past Accepting new patients

Locations

8095 Camino Arroyo
#200
Gilroy, CA 95020
Phone (408) 847-2200

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

917 Blanco Cir
Salinas, CA 93901
Phone (831) 755-7999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: admin@ccnephrology.e-mdsdirect.com
  • Direct secure messaging: mdicus17721@direct.svmh.com

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447339452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 BLANCO CIRCLE",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014446",
            "telephone_number": "831-755-7999",
            "fax_number": "831-755-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 BLANCO CIRCLE",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014446",
            "telephone_number": "831-755-7999",
            "fax_number": "831-755-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICUS",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A669020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A669020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.