NPIMap

Individual provider Active NPI

Michael R Novak, MD

  • Family Medicine Physician
  • Napa, CA
National Provider Identifier
1972501179
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A54822 Issued in CA
Practice address
1100 Trancas St Ste 250
Napa, CA 94558-2909
Phone
(707) 253-1135
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A54822 CA Primary

Addresses

Primary practice location

1100 Trancas St Ste 250
Napa, CA 94558-2909

Mailing address

1100 Trancas St Ste 250
Napa, CA 94558-2909
Phone (707) 253-1135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000341 CA Practitioner - Family Practice 2264566132 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians

Practice addresses (Care Compare)

1100 Trancas St
Suite 250
Napa, CA 94558-2909
Phone (707) 253-1135

4520 Business Ctr Dr
Suite 200
Vacaville, CA 94534
Phone (707) 646-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54822CAMDMarriage & Family Therapist
A54822CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Jul 1, 2020 Accepting new patients
Adventist Health Physicians Network Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince May 1, 2016 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince May 1, 2016 Accepting new patients
Adventist Health Clearlake Hospital Inc. Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 400
Anaheim, CA 92805

913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844

15322 Lakeshore Dr
Ste 202
Clearlake, CA 95422
Phone (707) 994-0303

15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030

3400 Emerson St
Clearlake, CA 95422
Phone (707) 994-5272

1100 Trancas St
Ste 250
Napa, CA 94558
Phone (707) 253-1135

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

999 Adams St
Ste 201
Saint Helena, CA 94574
Phone (707) 963-5294

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

Organizations & group practices 9

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 7

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1972501179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 TRANCAS ST STE 250",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582909",
            "telephone_number": "707-253-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TRANCAS ST STE 250",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582909",
            "telephone_number": "707-253-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.