Individual provider Active NPI

Michael B Kamiel, MD

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1669471603
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G24597 Issued in CA
Practice address
2080 Century Park E Ste 1207
Los Angeles, CA 90067-2015
Phone
(310) 559-3663
Fax
(310) 559-3221
NPI assigned
Jul 20, 2005
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G24597 CA Primary

Addresses

Primary practice location

2080 Century Park E Ste 1207
Los Angeles, CA 90067-2015

Mailing address

2080 Century Park E Ste 1207
Los Angeles, CA 90067-2015
Phone (310) 559-3663

Other identifiers 1

IdentifierTypeStateIssuer
00G245970MedicaidCA

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
I20100305000586 CA Practitioner - Internal MedicinePractitioner - Endocrinology 3274678982 Reassigns benefits to 1 organization
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Innovative Medical Solutions Inc a Medical GroupGroup PAC ID 5294783080, 37 clinicians

Practice addresses (Care Compare)

2080 Century Park E
Suite 710
Los Angeles, CA 90067-2010
Phone (310) 553-5203

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Medical Solutions Inc a Medical Group CurrentSince Oct 1, 2024 Accepting new patients

Locations

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

2080 Century Park E
Ste 710
Los Angeles, CA 90067
Phone (310) 556-7747

14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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 5

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1669471603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672015",
            "telephone_number": "310-559-3663",
            "fax_number": "310-559-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672015",
            "telephone_number": "310-559-3663",
            "fax_number": "310-559-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMIEL",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G24597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G245970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.