Individual provider Active NPI

Michael Alan Plainse, M.D.

  • Cardiovascular Disease Physician
  • Carmel, CA
National Provider Identifier
1508919432
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G69651 Issued in CA
Practice address
Mission & 4TH Street, Ste. 3
Carmel, CA 93921
Phone
(831) 625-2665
Fax
(831) 625-1999
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G69651 CA Primary

Addresses

Primary practice location

Mission & 4TH Street, Ste. 3
Carmel, CA 93921

Mailing address

PO Box 222559
Carmel, CA 93922-2559
Phone (831) 625-2665

Other identifiers 2

IdentifierTypeStateIssuer
P00056749OtherCARAILROAD MEDICARE
00G696510OtherCABLUE SHIELD

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
I20040115000626 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8022919844 Reassigns benefits to 2 organizations
Practice locations: Carmel, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital of the Monterey PeninsulaGroup PAC ID 7214839125, 143 clinicians

Practice addresses (Care Compare)

23625 Holman Hwy
Monterey, CA 93940-5902
Phone (831) 624-5311

Hospital & facility affiliations

  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145
  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

Merit-based Incentive Payment System (MIPS)

Final score
94.53 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
81.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G69651CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of the Monterey Peninsula CurrentSince Aug 7, 2002 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Aug 7, 2002 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 1, 2007 Accepting new patients
Northern Utah Healthcare Corporation Past Accepting new patients
Cardio-Pulmonary Associates Medical Group Inc a Professional Corp Past Accepting new patients

Locations

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

7850 Vista Hill Ave
San Diego, CA 92123
Phone (858) 836-8434

Organizations & group practices 5

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 4

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508919432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222559",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939222559",
            "telephone_number": "831-625-2665",
            "fax_number": "831-625-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MISSION & 4TH STREET, STE. 3",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "93921",
            "telephone_number": "831-625-2665",
            "fax_number": "831-625-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAINSE",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G69651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00056749",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G696510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

Verify at the official NPI Registry.