Active NPI
Michael James Jugo, MD
- Emergency Medicine Physician
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A90173
- Practice address
- 2450 Ashby Ave
Berkeley, CA 94705 - Phone
- (510) 843-1200
- Fax
- (510) 843-1020
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A90173 | CA | Primary |
| Emergency Medicine Physician | 207P00000X | IL |
Addresses
Primary practice location
2450 Ashby Ave
Berkeley, CA 94705
Mailing address
2450 Ashby Ave
Berkeley, CA 94705-2067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Wisconsin School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 SE Stratus Ave
Williamette Valley Medical Center
McMinnville, OR 97128-6255
Phone (503) 472-6131
Hospital & facility affiliations
- Willamette Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.83 of 100
- Quality
- 83.85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A90173 | CA | MD | Emergency Medicine Physician |
| 036-107618 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Berkeley Emergency Medical Group, Inc. | Emergency Medicine | Past | Accepting new patients |
| Emergency Room Care Providers, S.C. | Emergency Medicine | Past | Accepting new patients |
| Berkeley Emergency Medical Group, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- McMinnville, OR
- NPI 1629022876
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1609896174
-
- Emergency Medicine Physician
- Oakland, CA
- NPI 1508874454
-
- Emergency Medicine Physician
- Berkeley, CA
- NPI 1780692632
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1417990219
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McMinnville, OR
- NPI 1346269982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1609972066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 ASHBY AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 ASHBY AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94705",
"telephone_number": "510-843-1200",
"fax_number": "510-843-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUGO",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A90173",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.