Individual provider Active NPI

Michael Alexander Connerney, MD

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1962964387
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A182457 Issued in CA
Practice address
100 UCLA Medical Plaza Suite 425
Los Angeles, CA 90095-1329
Phone
(310) 794-1195
NPI assigned
Apr 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2025-02987 NC
Neurology Physician 2084N0400X 51799 AL
Neurology Physician 2084N0400X 339398 NY
Neurology Physician 2084N0400X C1-0028754 DE
Neurology Physician 2084N0400X MD492374 PA
Neurology Physician 2084N0400X ME177258 FL
Neurology Physician 2084N0400X 25MA12905700 NJ
Neurology Physician 2084N0400X 109942 GA
Neurology Physician 2084N0400X MD600004555 DC
Neurology Physician 2084N0400X A182457 CA Primary
Neurology Physician 2084N0400X D0104863 MD
Neurology Physician 2084N0400X 95866 SC
Neurology Physician 2084N0400X 82253 CT
Neurology Physician 2084N0400X 0101286633 VA

Addresses

Primary practice location

100 UCLA Medical Plaza Suite 425
Los Angeles, CA 90095-1329

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

700 US Highway 46 Ste 420
Fairfield, NJ 07004-1532
Phone (973) 882-3456

Other practice location 2

7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-2488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CT, DC, NY, VA, NC, GA, FL, PA, NJ, SC, DE12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20240520001935 CA Practitioner - Neurology 5890191662 Reassigns benefits to 4 organizations
I20250813001955 CT Practitioner - Neurology 5890191662 Reassigns benefits to 1 organization
I20250819005181 DC Practitioner - Neurology 5890191662 Reassigns benefits to 1 organization
I20250908001769 NY Practitioner - Neurology 5890191662 Reassigns benefits to 1 organization
I20250912000136 VA Practitioner - Neurology 5890191662 Reassigns benefits to 1 organization
I20250924000462 NC Practitioner - Neurology 5890191662 Reassigns benefits to 1 organization
I20251029003158 GA Practitioner - Neurology 5890191662 Reassigns benefits to 1 organization
I20251029004306 FL Practitioner - Neurology 5890191662 Reassigns benefits to 1 organization
I20251118001585 PA Practitioner - Neurology 5890191662 Reassigns benefits to 1 organization
I20251118002099 NJ Practitioner - Neurology 5890191662 Reassigns benefits to 1 organization
I20251124002683 SC Practitioner - Neurology 5890191662 Reassigns benefits to 1 organization
I20251217004460 DE Practitioner - Neurology 5890191662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Regents of the University of CaliforniaGroup PAC ID 1456255959, 96 clinicians
Neurophysiologic Interpretive Specialists LLCGroup PAC ID 5496933657, 11 clinicians
Neurophysiologic Interpretive Medicine PLLCGroup PAC ID 2567617616, 12 clinicians
Neuroshield Network SE LLCGroup PAC ID 7719243492, 10 clinicians

Practice addresses (Care Compare)

100 Medical PLZ
Suite 425
Los Angeles, CA 90095-0001
Phone (310) 794-1500

100 Retreat Ave
Suite 302
Hartford, CT 06106-2528
Phone (973) 882-3456

101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 654-7100

1304 Sunset Blvd
West Columbia, SC 29169-5914
Phone (973) 882-3456

142 S Main St
Danville, VA 24541-2922
Phone (973) 882-3456

150 Medical PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-9989

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (973) 882-3456

200 UCLA Medical PLZ
Suite 120
Los Angeles, CA 90095-0001
Phone (310) 206-6931

300 Medical Plaza
B200
Los Angeles, CA 90095-0001
Phone (310) 794-1195

300 Medical PLZ
Los Angeles, CA 90095-0001

3201 Edwards Mill Rd
Suite 141 485
Raleigh, NC 27612-5385
Phone (888) 329-0807

400 W Peachtree St NW
Suite 400
Atlanta, GA 30308-3536
Phone (888) 329-0807

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (973) 882-3456

700 US Hwy 46
Suite 420
Fairfield, NJ 07004-1532
Phone (973) 882-3456

701 N Clayton St
Wilmington, DE 19805-3165
Phone (888) 329-0807

757 Westwood Blvd
Los Angeles, CA 90095-8358
Phone (310) 825-8021

821 Huntingdon Pike
Huntingdon Valley, PA 19006-8371
Phone (973) 882-3456

Hospital & facility affiliations

  • Stamford Hospital Hospital, Stamford, CT, CCN 070006
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Jack Hughston Memorial Hospital Hospital, Phenix City, AL, CCN 010168
  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141
  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Merit-based Incentive Payment System (MIPS)

Final score
93.73 of 100Reported as group
Quality
86.41
Promoting interoperability
100
Improvement activities
40
Cost
67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51799ALMDNeurology Physician
A182457CAMDNeurology Physician
82253CTMDNeurology Physician
MD600004555DCMDNeurology Physician
C1-0028754DEMDNeurology Physician
ME177258FLMDNeurology Physician
109942GAMDNeurology Physician
D0104863MDMDNeurology Physician
2025-02987NCMDNeurology Physician
25MA12905700NJMDNeurology Physician
339398NYMDNeurology Physician
MD492374PAMDNeurology Physician
95866SCMDNeurology Physician
0101286633VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Oct 8, 2024 Accepting new patients
County of Santa Clara CurrentSince Oct 8, 2024 Accepting new patients
County of Santa Clara CurrentSince Oct 8, 2024 Accepting new patients
Neurophysiologic Interpretive Specialists LLC Neurology CurrentSince Jul 1, 2025 Accepting new patients
The Regents of the University of California CurrentSince Jul 1, 2024 Accepting new patients
County of Santa Clara CurrentSince Oct 8, 2024 Accepting new patients
The Regents of the University of California Neurology CurrentSince Jul 1, 2024 Accepting new patients
Neuroshield Network SE LLC CurrentSince Jul 1, 2025 Accepting new patients
Neurophysiologic Interpretive Medicine PLLC Neurology CurrentSince Aug 20, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
UCLA Medical Group Neurology Past Accepting new patients

Locations (25 of 30)

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

200 Medical Plz
Ste 140
Los Angeles, CA 90095
Phone (310) 206-1434

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

100 UCLA Medical Plz
Ste 425
Los Angeles, CA 90024
Phone (310) 794-1500

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

300 Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 794-6596

200 Medical Plz
Ste 170
Los Angeles, CA 90095
Phone (310) 825-7911

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

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

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

1260 15th St
Ste 1200
Santa Monica, CA 90404
Phone (310) 451-8751

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

100 Retreat Ave
Ste 302
Hartford, CT 06106
Phone (860) 266-1845

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

400 W Peachtree St NW
Ste 400
Atlanta, GA 30308

1330 Piccard Dr
Ste 102
Rockville, MD 20850
Phone (301) 208-7350

3201 Edwards Mill Rd
Ste 141485
Raleigh, NC 27612

700 US Highway 46
Ste 420
Fairfield, NJ 07004

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

Interoperability endpoints

  • Direct secure messaging: mconnerney863842@direct.memorialcare.org

Organizations & group practices 12

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 6

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1962964387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLAZA SUITE 425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951329",
            "telephone_number": "310-794-1195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 US Highway 46 Ste 420",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "NJ",
            "postal_code": "070041532",
            "country_code": "US",
            "telephone_number": "973-882-3456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Broadway",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731329",
            "country_code": "US",
            "telephone_number": "718-334-2488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNERNEY",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2025-02987",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "51799",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "339398",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DE",
            "license": "C1-0028754",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD492374",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME177258",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA12905700",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "109942",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "MD600004555",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A182457",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0104863",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "95866",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "82253",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101286633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.