Individual provider Active NPI

Michael Nicholas Papanicolaou, M.D.

  • Cardiovascular Disease Physician
  • Thousand Oaks, CA
National Provider Identifier
1922038967
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A43353 Issued in CA
Practice address
1000 Newbury Rd
Ste 180
Thousand Oaks, CA 91320-6435
Phone
(805) 480-2600
Fax
(805) 480-2677
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A43353 CA Primary

Addresses

Primary practice location

1000 Newbury Rd
Ste 180
Thousand Oaks, CA 91320-6435

Mailing address

1000 Newbury Rd
Ste 180
Thousand Oaks, CA 91320-6435
Phone (805) 480-2600

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
I20110110000172 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113116971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Duke University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Center CardiologyGroup PAC ID 5597653972, 2 clinicians

Practice addresses (Care Compare)

1000 Newbury Rd
Suite 180
Thousand Oaks, CA 91320-6440
Phone (805) 480-2600

Hospital & facility affiliations

  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Merit-based Incentive Payment System (MIPS)

Final score
81.23 of 100Reported as individual
Quality
78.99
Improvement activities
40
Cost
65.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A43353CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Center Cardiology Cardiovascular Disease CurrentSince Apr 15, 2002 Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients

Locations

1000 Newbury Rd
Ste 180
Thousand Oaks, CA 91320
Phone (805) 480-2600

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

2220 Lynn Rd
Ste 208
Thousand Oaks, CA 91360
Phone (805) 480-2600

Interoperability endpoints

  • Direct secure messaging: michael.papanicolaou@cardiology.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72874

Organizations & group practices 2

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 2

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1922038967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD",
            "address_2": "STE 180",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913206435",
            "telephone_number": "805-480-2600",
            "fax_number": "805-480-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD",
            "address_2": "STE 180",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913206435",
            "telephone_number": "805-480-2600",
            "fax_number": "805-480-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPANICOLAOU",
        "first_name": "MICHAEL",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A43353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.