Individual provider Active NPI

Michael Winkelmann, MD

  • Emergency Medicine Physician
  • Atlanta, GA
National Provider Identifier
1871657197
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
046658 Issued in GA
Practice address
356 Ardmore CT NW
Atlanta, GA 30309-1831
Phone
(206) 779-4193
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD00028503 WA
Emergency Medicine Physician 207P00000X 046658 GA Primary

Addresses

Primary practice location

356 Ardmore CT NW
Atlanta, GA 30309-1831

Mailing address

356 Ardmore CT NW
Atlanta, GA 30309-1831
Phone (206) 779-4193

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
I20190109000734 CA Practitioner - Emergency Medicine 3577523646 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046658GAMDEmergency Medicine Physician
MD00028503WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Jun 15, 2020 Accepting new patients
County of Santa Clara Emergency Medicine CurrentSince Jun 15, 2020 Accepting new patients
Emergency Physicians Associates San Jose PC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
County of Santa Clara Current Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine Past Accepting new patients
Pacific County Hospital District 2 Past Accepting new patients
Pacific County Hospital District 2 PastSince Aug 1, 2012 Accepting new patients

Locations

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

Interoperability endpoints

  • Direct secure messaging: mwinkelmann126095@santaclaravalley.direct-ci.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1871657197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 ARDMORE CT NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091831",
            "telephone_number": "206-779-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 ARDMORE CT NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091831",
            "telephone_number": "206-779-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKELMANN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00028503",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "046658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.