Individual provider Active NPI

Michel Nawar Mikhael, M.D.

  • General Practice Physician
  • Sylmar, CA
National Provider Identifier
1902951460
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A38934 Issued in CA
Practice address
14124 Foothill Blvd Ste 100
Sylmar, CA 91342-8051
Phone
(818) 367-1012
Fax
(818) 367-1012
NPI assigned
Jan 24, 2007
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A38934 CA Primary

Addresses

Primary practice location

14124 Foothill Blvd Ste 100
Sylmar, CA 91342-8051

Mailing address

14124 Foothill Blvd Ste 100
Sylmar, CA 91342-8051
Phone (818) 367-1012

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
I20101115000991 CA Practitioner - General Practice 5890980973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1974
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14124 Foothill Blvd
Suite 100
Sylmar, CA 91342-8051
Phone (818) 367-1012

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A38934CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Herbert S Radley MD & Harold M Cohen MD Medical Corporation CurrentSince Dec 1, 2018 Accepting new patients
Dignity Community Care Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

14124 Foothill Blvd
Ste 100
Sylmar, CA 91342
Phone (818) 367-1012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: michel.mikhael.p26@direct.regal.nextgenshare.com
  • Direct secure messaging: micheln.mikhaelmd.p65@direct.healthcarepartners.nextgenshare.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.

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1902951460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14124 FOOTHILL BLVD STE 100",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913428051",
            "telephone_number": "818-367-1012",
            "fax_number": "818-367-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14124 FOOTHILL BLVD STE 100",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913428051",
            "telephone_number": "818-367-1012",
            "fax_number": "818-367-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAEL",
        "first_name": "MICHEL",
        "middle_name": "NAWAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A38934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.