Individual provider Active NPI

Michael William Block

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1710306709
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MT207226 Issued in PA
Practice address
111 S 11TH St
Philadelphia, PA 19107-4824
Phone
(215) 995-2370
Fax
(215) 955-0677
NPI assigned
Apr 7, 2014
Last updated
Feb 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MT207226 PA Primary

Addresses

Primary practice location

111 S 11TH St
Philadelphia, PA 19107-4824

Mailing address

20354 Glen Brae Dr
Saratoga, CA 95070-4953
Phone (408) 483-2089

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
I20190822004581 CA Practitioner - Anesthesiology 9234433038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Georgetown University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
G2 Anesthesia PC Anesthesiology CurrentSince Oct 25, 2019 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
County of Santa Clara Past Accepting new patients
Forest Anesthesia Medical Group Inc Anesthesiology Past Accepting new patients

Locations (25 of 33)

3351 El Camino Real
Ste 220
Atherton, CA 94027
Phone (650) 363-2800

1720 El Camino Real
Ste 100
Burlingame, CA 94010
Phone (650) 259-5300

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

3803 S Bascom Ave
Ste 106
Campbell, CA 95008
Phone (408) 249-3840

3803 S Bascom Ave
Ste 204
Campbell, CA 95008
Phone (408) 559-8658

3803 S Bascom Ave
Ste 100
Campbell, CA 95008
Phone (408) 559-7177

2605 S Winchester Blvd
Campbell, CA 95008
Phone (401) 341-8600

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

4756 El Camino Real
Los Altos, CA 94022
Phone (650) 445-4724

15780 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 358-5000

15195 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0431

15195 National Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 356-0454

15195 National Ave
Ste 204
Los Gatos, CA 95032
Phone (408) 356-0988

15047 Los Gatos Blvd
Ste 150
Los Gatos, CA 95032
Phone (408) 356-2244

14830 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 377-5556

14601 S Bascom Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 358-6815

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

400 Forest Ave
Palo Alto, CA 94301
Phone (650) 289-1208

101 Addison Ave
Palo Alto, CA 94301
Phone (650) 433-8621

3370 Geary Blvd
San Francisco, CA 94118
Phone (415) 379-7500

3468 California St
San Francisco, CA 94118
Phone (415) 345-0100

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2410 Samaritan Dr
Ste 101
San Jose, CA 95124
Phone (408) 369-9798

2110 Forest Ave
Fl 2
San Jose, CA 95128
Phone (408) 297-3432

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, 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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1710306709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20354 GLEN BRAE DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704953",
            "telephone_number": "408-483-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-995-2370",
            "fax_number": "215-955-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MT207226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.