Individual provider Active NPI

Mark George Carmichael, MD

  • Hematology & Oncology Physician
  • Rancho Mirage, CA
National Provider Identifier
1811973043
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C148614 Issued in CA
Practice address
39800 Bob Hope Dr Ste C
Rancho Mirage, CA 92270-3946
Phone
(760) 568-3613
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X C148614 CA Primary

Addresses

Primary practice location

39800 Bob Hope Dr Ste C
Rancho Mirage, CA 92270-3946

Mailing address

34490 Bob Hope Dr.
Rancho Mirage, CA 92270-0000
Phone (760) 568-3613

Other practice location 1

34490 Bob Hope Dr.
Rancho Mirage, CA 92270-0000
Phone (760) 568-3613

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
I20170523002496 CA Practitioner - Hematology/Oncology 5294973111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Hematology-Oncology Medical Group IncGroup PAC ID 2567470214, 10 clinicians

Practice addresses (Care Compare)

34490 Bob Hope Dr
Rancho Mirage, CA 92270-1713
Phone (760) 568-3613

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C148614CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Hematology-Oncology Medical Group Inc Hematology & Oncology CurrentSince Jul 1, 2017 Accepting new patients
Eisenhower Medical Center PastSince May 31, 2020 Accepting new patients

Locations

39800 Bob Hope Dr
Ste C
Rancho Mirage, CA 92270
Phone (760) 568-3613

34490 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 568-3613

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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 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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811973043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34490 BOB HOPE DR.",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922700000",
            "telephone_number": "760-568-3613",
            "fax_number": "760-340-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39800 BOB HOPE DR STE C",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703946",
            "telephone_number": "760-568-3613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34490 Bob Hope Dr.",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922700000",
            "country_code": "US",
            "telephone_number": "760-568-3613",
            "fax_number": "760-340-5189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "MARK",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "C148614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.