Michael Milton Gottlieb, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G70422 Issued in CA

Practice address

1320 El Capitan Dr
Suite 440
Danville, CA 94526-6258

Phone

(925) 277-1117

Fax

(925) 277-1119

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

General SurgeryAlso: Colorectal Surgery (Proctology)

Education

University of Southern California Keck School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Bay Cardiovascular and Thoracic Associates IncGroup PAC ID 9032290770, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

95.12

Promoting interoperability

100

Improvement activities

40

Cost

78.87

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• East Bay Cardiovascular and Thoracic Associates Inc.

  • Surgery Physician
  • Danville, CA
  • NPI 1073647202
  Medicare reassignment Care Compare group NPD
• John Muir Health

  • Rehabilitation Hospital Unit
  • Walnut Creek, CA
  • NPI 1447269303
  NPD (past)
• Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1043215379
  NPD (past)
• San Ramon Regional Medical Center, LLC

  • General Acute Care Hospital
  • San Ramon, CA
  • NPI 1932131489
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• San Ramon Regional Medical Center, LLC

  • General Acute Care Hospital
  • San Ramon, CA
  • NPI 1932131489
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1609858075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 EL CAPITAN DR STE 120",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945266260",
            "telephone_number": "925-676-2600",
            "fax_number": "925-680-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 EL CAPITAN DR",
            "address_2": "SUITE 440",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945266258",
            "telephone_number": "925-277-1117",
            "fax_number": "925-277-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "MICHAEL",
        "middle_name": "MILTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G70422",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G70422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "20-1426034",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden State Stroke and Neurocritical Care, Inc.
• Rachelle Pavao Goldenberg, LCSW
• Julia Golub
• Valerie Gong, PHARM D
• Esther Goren
• Julia Govan
• Amit Goyal, DMD
• David A Graham, DDS
• Mark Alan Graham, DDS
• Jelsea Grant

• Surgery Physician in Danville, CA
• Providers in Danville, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.