Active NPI
Michael Alexander Connerney, MD
- Neurology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A182457
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 12
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Virginia Hospital Center
- Jack Hughston Memorial Hospital
- Long Island Community Hospital
- Caromont Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.73 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 51799 | AL | MD | Neurology Physician |
| A182457 | CA | MD | Neurology Physician |
| 82253 | CT | MD | Neurology Physician |
| MD600004555 | DC | MD | Neurology Physician |
| C1-0028754 | DE | MD | Neurology Physician |
| ME177258 | FL | MD | Neurology Physician |
| 109942 | GA | MD | Neurology Physician |
| D0104863 | MD | MD | Neurology Physician |
| 2025-02987 | NC | MD | Neurology Physician |
| 25MA12905700 | NJ | MD | Neurology Physician |
| 339398 | NY | MD | Neurology Physician |
| MD492374 | PA | MD | Neurology Physician |
| 95866 | SC | MD | Neurology Physician |
| 0101286633 | VA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Neurophysiologic Interpretive Specialists LLC | Neurology | Current | Accepting new patients |
| The Regents of the University of California | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| The Regents of the University of California | Neurology | Current | Accepting new patients |
| Neuroshield Network SE LLC | Current | Accepting new patients | |
| Neurophysiologic Interpretive Medicine PLLC | Neurology | Current | 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
- 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.
-
- Neurology Physician
- Los Angeles, CA
- NPI 1437117074
-
- Neurology Physician
- Fairfield, NJ
- NPI 1780827162
CT, DC, DE, PA
-
- Clinical Neurophysiology Physician
- Fairfield, NJ
- NPI 1538600606
FL, GA, NC, SC, VA
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
- Clinic/Center
- San Jose, CA
- NPI 1073265914
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Land Ambulance
- Los Angeles, CA
- NPI 1962219410
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
-
- General Acute Care Hospital
- Phenix City, AL
- NPI 1023050101
-
- General Acute Care Hospital
- Stamford, CT
- NPI 1356331425
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.