Individual provider Active NPI

Michael Ian Fuchs, M.D.

  • Internal Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1710143326
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G178866 Issued in CA
Practice address
2021 Santa Monica Blvd Ste 245E
Santa Monica, CA 90404-2132
Phone
(310) 829-0199
Fax
(424) 212-5921
NPI assigned
Aug 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15309 AZ
Internal Medicine Physician 207R00000X G178866 CA Primary

Addresses

Primary practice location

2021 Santa Monica Blvd Ste 245E
Santa Monica, CA 90404-2132

Mailing address

2021 Santa Monica Blvd Ste 245E
Santa Monica, CA 90404-2132
Phone (310) 453-1324

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
I20230105003264 CA Practitioner - Internal Medicine 0143264465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Saint Johns Medical FoundationGroup PAC ID 0840548624, 282 clinicians

Practice addresses (Care Compare)

2021 Santa Monica Blvd
Suite 245E
Santa Monica, CA 90404-2132
Phone (310) 829-4403

Hospital & facility affiliations

  • Reliance Home Health Care, Inc. Home health agency, Glendale, CA, CCN 059675
  • Providence Home Health la County South Home health agency, Torrance, CA, CCN 557447
  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15309AZMDInternal Medicine Physician
G178866CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Tucson Medical Center Past Accepting new patients
Saint John'S Health Clinic Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Carondelet Health Network Past Accepting new patients

Locations

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

1301 20th St
Ste 470
Santa Monica, CA 90404
Phone (310) 315-0222

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2021 Santa Monica Blvd
Ste 245E
Santa Monica, CA 90404
Phone (310) 829-4403

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

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": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1710143326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 245E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042132",
            "telephone_number": "310-453-1324",
            "fax_number": "424-212-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 245E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042132",
            "telephone_number": "310-829-0199",
            "fax_number": "424-212-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUCHS",
        "first_name": "MICHAEL",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-03",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "15309",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G178866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.