Individual provider Active NPI

Ross G Michel, M.D

  • Pulmonary Disease Physician
  • San Luis Obispo, CA
National Provider Identifier
1871633784
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C53777 Issued in CA
Practice address
1428 Phillips LN Ste 203
San Luis Obispo, CA 93401-2551
Phone
(805) 543-4407
Fax
(805) 543-4587
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22917 OK
Critical Care Medicine (Internal Medicine) Physician 207RC0200X C53777 CA
Pulmonary Disease Physician 207RP1001X C53777 CA Primary

Addresses

Primary practice location

1428 Phillips LN Ste 203
San Luis Obispo, CA 93401-2551

Mailing address

1304 Ella St Ste a
San Luis Obispo, CA 93401-4165
Phone (805) 549-9555

Other practice location 1

850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 93420-3929
Phone (805) 547-2224

Other practice location 2

1304 Ella St Ste A
San Luis Obispo, CA 93401-4165
Phone (805) 549-9555

Other identifiers 2

IdentifierTypeStateIssuer
C53777OtherCAMEDICAL LICENSE
9292457OtherCAAETNA

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
I20100322000604 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6901931500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Central Coast Health CentersGroup PAC ID 9739091364, 247 clinicians
Central Coast Chest Consultants, a Medical CorporationGroup PAC ID 6800877101, 8 clinicians

Practice addresses (Care Compare)

1304 Ella St
Suite a
San Luis Obispo, CA 93401-4165
Phone (805) 549-9555

1428 Phillips LN
Suite 203
San Luis Obispo, CA 93401-2551
Phone (805) 543-4407

Hospital & facility affiliations

  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22917OKMDInternal Medicine Physician
C53777CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Chest Consultants a Medical Corporation Internal Medicine CurrentSince Apr 1, 2010 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Oct 1, 2020 Accepting new patients
Pacific Central Coast Health Centers Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince Oct 1, 2020 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

850 Fair Oaks Ave
Ste 220
Arroyo Grande, CA 93420
Phone (805) 434-5530

1400 E Church St
Ofc
Santa Maria, CA 93454
Phone (805) 739-3112

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

1428 Phillips Ln
Ste 203
Sn Luis Obisp, CA 93401
Phone (805) 439-1797

1304 Ella St
Ste A
Sn Luis Obisp, CA 93401
Phone (805) 541-1060

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 4

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1871633784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014165",
            "telephone_number": "805-549-9555",
            "fax_number": "805-549-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 PHILLIPS LN STE 203",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012551",
            "telephone_number": "805-543-4407",
            "fax_number": "805-543-4587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Fair Oaks Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203929",
            "country_code": "US",
            "telephone_number": "805-547-2224",
            "fax_number": "805-474-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1304 Ella St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014165",
            "country_code": "US",
            "telephone_number": "805-549-9555",
            "fax_number": "805-549-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "ROSS",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "22917",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "C53777",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C53777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "C53777",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9292457",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.