Michael Joseph Nieto, M.D.

Primary specialty

Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X

License

A168679 Issued in CA

Practice address

280 S Main St Ste 200
Orange, CA 92868-3852

Phone

(714) 634-4567

NPI assigned

May 9, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Pediatric MedicineAlso: Sports Medicine

Education

University of Iowa, RJ & L Carver College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Specialty Institute Medical Group of Orange CountyGroup PAC ID 5395631931, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grandcare Home Health Services Home health agency, Pasadena, CA, CCN 058277
• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
• Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

Merit-based Incentive Payment System (MIPS)

Final score

75.34 of 100Reported as group

Quality

48.62

Promoting interoperability

94

Improvement activities

40

Cost

74.18

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: michael.nietomd.p1@direct.osiortho.nextgenshare.com

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.

• Orthopaedic Specialty Institute Medical Group of Orange County

  • Orthopaedic Surgery Physician
  • Orange, CA
  • NPI 1336228832
  Medicare reassignment Care Compare group NPD
• St Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216
  NPD (past)

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

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation
• MSJ Healthcare LLC

  • Home Health Agency
  • Pasadena, CA
  • NPI 1326272766
  Care Compare affiliation
• St Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216
  Care Compare affiliation
• St. Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1558575746
  Care Compare affiliation

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1861848947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950A (CAMPUS DELIVERY CODE) 2450 RIVERSIDE AVE",
            "address_2": "PEDIATRICS EDUCATION OFFICE 1ST FLOOR EAST BUILDING",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55454",
            "telephone_number": "612-624-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST STE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683852",
            "telephone_number": "714-634-4567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8950A (Campus Delivery Code) 2450 Riverside Ave",
            "address_2": "Pediatrics Education Office 1st Floor East Building",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55454",
            "country_code": "US",
            "telephone_number": "612-624-4477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIETO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "CA",
            "license": "A168679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Nielsen, DDS
• Elliot Joel Nielson, MD
• Nancy Niemiec, HIS
• Brittani Nieto
• Jersson Nieto
• Roberta Nieto, MD
• Delma Julieta Nieves, M.D.
• Lizette Nieves, FNP
• Nady Nieves
• Samantha Joy Nieves, AU.D., CCC-A

• Pediatric Sports Medicine Physician in Orange, CA
• Providers in Orange, CA by specialty
• Pediatric Sports Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.