Individual provider Active NPI

Michael Albert

  • Internal Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1902253362
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A154477 Issued in CA
Practice address
8700 Beverly Blvd # 5512
West Hollywood, CA 90048-1804
Phone
(310) 423-5161
NPI assigned
May 16, 2016
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Internal Medicine Physician 207R00000X A154477 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd # 5512
West Hollywood, CA 90048-1804

Mailing address

PO Box 512717
Los Angeles, CA 90051-0717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20220307001919 OK Practitioner - Internal Medicine 9638405202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

728 NW 198TH St
Edmond, OK 73012-1318
Phone (888) 662-4421

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154477CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Albert M D P C Internal Medicine CurrentSince Jul 28, 2021 Accepting new patients
University of Cincinnati Physicians Company, LLC Internal Medicine PastSince Dec 9, 2019 Accepting new patients

Locations

548 Market St
San Francisco, CA 94104
Phone (415) 275-1838

268 Post Rd
#200
Fairfield, CT 06824

382 NE 191st St
#31143
Miami, FL 33179

3030 Greenmount Ave
Ste 300
Baltimore, MD 21218
Phone (240) 262-0094

2733 Erie Ave
Ste 219
Cincinnati, OH 45208

30 S 15th St
Ste 31143
Philadelphia, PA 19102

501 Union St
Ste 545
Nashville, TN 37219
Phone (615) 504-7343

5473 Blair Rd
Dallas, TX 75231
Phone (318) 789-6620

Interoperability endpoints

  • Direct secure messaging: michael.albert.1@25828.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1902253362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512717",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD # 5512",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A154477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.