Michael S Wall, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

G71052 Issued in CA

Practice address

500 Arguello St
Ste 100
Redwood City, CA 94063

Phone

(650) 851-4900

Fax

(650) 995-1202

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Orthopedic Surgery

Education

University of California, Geffen School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Physiatry Medical Group IncGroup PAC ID 1557442944, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

Merit-based Incentive Payment System (MIPS)

Final score

77.81 of 100Reported as group

Quality

66.45

Improvement activities

40

Cost

70.75

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• The Physiatry Medical Group, Inc

  • Physical Medicine & Rehabilitation Physician
  • Redwood City, CA
  • NPI 1376601542
  Medicare reassignment Care Compare group NPD
• Verity Medical Foundation

  • Multi-Specialty Clinic/Center
  • San Jose, CA
  • NPI 1326312067
  Medicare reassignment
• Sequoia Health Services

  dba Sequoia Hospital

  • General Acute Care Hospital
  • Redwood City, CA
  • NPI 1235172057
  NPD (past)
• Soar Surgery Center, LLC

  • Orthopaedic Surgery Physician
  • Burlingame, CA
  • NPI 1790005304
  NPD (past)
• South Bay Sports and Preventive Medicine Associates, Inc.

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1861554099
  NPD (past)
• Sports Orthopedic and Rehabilitation Medicine Associates

  • Rheumatology Physician
  • Redwood City, CA
  • NPI 1538227707

  Sports Medicine

  NPD (past)
• Stanford Hospital and Clinics

  dba SHC Reference Laboratory

  • Clinical Medical Laboratory
  • Palo Alto, CA
  • NPI 1174698468
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Bay Hospitals

  dba Mills-Peninsula Medical Center

  • General Acute Care Hospital
  • Burlingame, CA
  • NPI 1043670334
  Care Compare affiliation
• Sutter Bay Hospitals

  dba Menlo Park Surgical Hospital

  • General Acute Care Hospital
  • Menlo Park, CA
  • NPI 1295199701
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780616847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ARGUELLO ST",
            "address_2": "STE 100",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-851-4900",
            "fax_number": "650-995-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ARGUELLO ST",
            "address_2": "STE 100",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-851-4900",
            "fax_number": "650-995-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G71052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Joye Waeghe, M.P.T., A.T.C.
• Jennifer Waldrop, RDN
• Constance Marie Walian
• Avery Carter Carter Walker, PSYD
• Cheryl L Walker
• Michael Wallace
• Alex Walsh, DO
• Wang Acupuncture Professional Corporation
• Chenlong Wang
• Cynthia Xinjie Wang, MD/MPHS

• Sports Medicine (Orthopaedic Surgery) Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.