NPIMap

Individual provider Active NPI

Mikael Langner, M.D.

  • General Practice Physician
  • Berkeley, CA
National Provider Identifier
1477855724
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C159095 Issued in CA
Practice address
3031 Telegraph Ave Ste 235
Berkeley, CA 94705-2053
Phone
(858) 337-4941
Fax
(415) 680-1717
NPI assigned
Nov 18, 2010
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X C159095 CA Primary

Addresses

Primary practice location

3031 Telegraph Ave Ste 235
Berkeley, CA 94705-2053

Mailing address

3031 Telegraph Ave Ste 235
Berkeley, CA 94705-2053
Phone (858) 337-4941

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
I20190311002003 CA Practitioner - General Practice 2264662790 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Specialists Medical CorporationGroup PAC ID 3678849049, 26 clinicians

Practice addresses (Care Compare)

1255 Travis Blvd
Fairfield, CA 94533-4801
Phone (800) 973-1540

3017 Telegraph Ave
Suite 210
Berkeley, CA 94705-2049
Phone (484) 432-2177

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.37 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
54.56

Merit-based Incentive Payment System (MIPS)

Final score
22.79 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
75.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C159095CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley General Medical Corporation General Practice CurrentSince Nov 6, 2022 Accepting new patients
SNF Specialists Medical Corporation CurrentSince Aug 15, 2019 Accepting new patients

Locations

3017 Telegraph Ave
Ste 210
Berkeley, CA 94705
Phone (484) 432-2177

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Laurel Heights Community CareSan Francisco, CA, CCN 555869 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2026
Mar 1, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • JC Care, Inc

    dba Laurel Heights Community Care

    • Skilled Nursing Facility
    • San Francisco, CA
    • NPI 1629476239

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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.

Hospital & facility affiliations 9

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": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1477855724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 TELEGRAPH AVE STE 235",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052053",
            "telephone_number": "858-337-4941",
            "fax_number": "415-680-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 TELEGRAPH AVE STE 235",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052053",
            "telephone_number": "858-337-4941",
            "fax_number": "415-680-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGNER",
        "first_name": "MIKAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-18",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C159095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.