Individual provider Active NPI

Michael P Orejudos, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Travis AFB, CA
National Provider Identifier
1619950813
Registry record updated Aug 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A92227 Issued in CA
Practice address
101 Bodin Cir
60 MDTS/SGQC, DGMC Department of Pathology
Travis AFB, CA 94535-1809
Phone
(707) 423-7705
NPI assigned
Nov 22, 2005
Last updated
Aug 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A92227 CA Primary

Addresses

Primary practice location

101 Bodin Cir
60 MDTS/SGQC, DGMC Department of Pathology
Travis AFB, CA 94535-1809

Mailing address

8642 Westford Rd
Lutherville, MD 21093-4000
Phone (410) 926-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220104002349 TX Practitioner - Pathology 8628469434 Reassigns benefits to 2 organizations
I20250404002357 NV Practitioner - Pathology 8628469434 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92227CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoffman, MD, Associated Pathologists Chartered Anatomic Pathology & Clinical Pathology CurrentSince Mar 17, 2025 Accepting new patients
Alliance Pathology Consultants PA Anatomic Pathology & Clinical Pathology CurrentSince May 1, 2024 Accepting new patients
J S Wilkenfeld MD & Associates Anatomic Pathology & Clinical Pathology Current Accepting new patients
Clear Lake Pathology Partners LTD Anatomic Pathology & Clinical Pathology CurrentSince May 1, 2024 Accepting new patients
Houston Pathology Associates Anatomic Pathology & Clinical Pathology Current Accepting new patients
Quest Diagnostics Incorporated PastSince Mar 17, 2025 Accepting new patients
Lucent Pathology Partners, Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients
Austin Pathology Associates Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

4230 Burnham Ave
Las Vegas, NV 89119
Phone (702) 733-7866

14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018

2537 S Gessner Rd
Ste 200
Houston, TX 77063

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566086400000",
    "number": "1619950813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8642 WESTFORD RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934000",
            "telephone_number": "410-926-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "address_2": "60 MDTS/SGQC, DGMC DEPARTMENT OF PATHOLOGY",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREJUDOS",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2019-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A92227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travis AFB, CA

Sources for this page

Verify at the official NPI Registry.