Individual provider Active NPI

Michael Thomas Booker, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1669890588
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A140037 Issued in CA
Practice address
150 W Washington St
San Diego, CA 92103-2005
Phone
(619) 295-9729
NPI assigned
Mar 29, 2014
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A140037 CA Primary

Addresses

Primary practice location

150 W Washington St
San Diego, CA 92103-2005

Mailing address

150 W Washington St
San Diego, CA 92103-2005

Other practice location 1

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imaging_healthcare_specialists@direct.sdhealthconnect.org

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
I20190820003873 CA Practitioner - Diagnostic Radiology 3971895715 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Southern California Keck School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians
Scripps Health Inpatient Providers Medical Group IncGroup PAC ID 9436314762, 209 clinicians

Practice addresses (Care Compare)

150 W Washington St
San Diego, CA 92103-2005
Phone (619) 295-9729

4077 5TH Ave
FL 1
San Diego, CA 92103-2105
Phone (619) 294-8111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
72.92 of 100Reported as group
Quality
59.53
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Ucsd Department of Radiology Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
Scripps Health Current Accepting new patients
IHS Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince Jun 1, 2025 Accepting new patients
Physicians Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations

333 H St
Ste 1095
Chula Vista, CA 91910
Phone (619) 409-9119

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

477 N El Camino Real
Ste A102
Encinitas, CA 92024
Phone (760) 452-7150

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626

4150 Regents Park Row
Ste 195
La Jolla, CA 92037
Phone (858) 622-6464

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

2427 Transportation Ave
National City, CA 91950

3601 Vista Way
Ste 101
Oceanside, CA 92056
Phone (760) 631-7505

3909 Waring Rd
Ste B
Oceanside, CA 92056
Phone (760) 631-3500

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

1801 W Olympic Blvd
#1315
Pasadena, CA 91199

12620 Monte Vista Rd
Ste A
Poway, CA 92064
Phone (858) 487-9729

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

150 W Washington St
San Diego, CA 92103
Phone (619) 295-9729

1809 National Ave
Ste 2104
San Diego, CA 92113

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5720

3939 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 200-3300

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

4077 5th Ave
Fl 1
San Diego, CA 92103
Phone (619) 294-8111

550 Washington St
Ste 200
San Diego, CA 92103
Phone (619) 260-7225

6386 Alvarado Ct
Ste 121
San Diego, CA 92120
Phone (619) 229-2299

8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227

1000 Vale Terrace Dr
Vista, CA 92084
Phone (760) 407-1220

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mbooker297008@scrippshlth.medalliesdirect.net

Organizations & group practices 7

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 1

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": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1669890588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032005",
            "telephone_number": "619-295-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-29",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A140037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imaging_healthcare_specialists@direct.sdhealthconnect.org",
            "affiliation": "N",
            "address_1": "150 W Washington St",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921032005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.