Individual provider Active NPI

Andrew W Michael, MD

  • Surgery Physician
  • Pomona, CA
National Provider Identifier
1922328590
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A135903 Issued in CA
Practice address
1798 North Garey Avenue
Pomona, CA 91767
Phone
(909) 865-9501
NPI assigned
Jun 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A135903 CA Primary

Addresses

Primary practice location

1798 North Garey Avenue
Pomona, CA 91767

Mailing address

160 E Artesia St Ste 310
Pomona, CA 91767-2922
Phone (909) 865-9501

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
I20160802001376 CA Practitioner - General Surgery 1557508454 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute of Trauma and Acute Care IncGroup PAC ID 6204101850, 8 clinicians

Practice addresses (Care Compare)

160 E Artesia St
Suite 310
Pomona, CA 91767-2922
Phone (909) 469-9477

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A135903CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute of Trauma and Acute Care Inc Surgery CurrentSince Aug 22, 2017 Accepting new patients
Pih Health Physicians CurrentSince Mar 1, 2023 Accepting new patients
Pih Health Physicians Current Accepting new patients
University Surgeons of Orange a Medical Group Surgery CurrentSince Jul 25, 2016 Accepting new patients
Pih Health Physicians CurrentSince Mar 1, 2023 Accepting new patients

Locations

11480 Brookshire Ave
Ste 201
Downey, CA 90241
Phone (562) 869-4567

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

160 E Artesia St
Ste 310
Pomona, CA 91767
Phone (909) 469-9477

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

12462 Putnam St
Whittier, CA 90602
Phone (562) 789-5430

Interoperability endpoints

  • Direct secure messaging: amichael206225@direct.renown.org

Organizations & group practices 5

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 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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1922328590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 310",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672922",
            "telephone_number": "909-865-9501",
            "fax_number": "909-865-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 NORTH GAREY AVENUE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-865-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "ANDREW",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A135903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.