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MITCHELL FENNERTY MD
NPI 1093465973
Orthopaedic Surgery in Los Angeles, CA

Active since March 24, 2022PECOS Enrolled
1500 SAN PABLO ST, LOS ANGELES, CA 90033(800) 872-2273 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mitchell Fennerty Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITCHELL FENNERTY MD (NPI 1093465973) is an individual orthopaedic surgery provider in Los Angeles, California, licensed in California (9123) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093465973
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMITCHELL FENNERTYCredential: MD
Location Address1500 SAN PABLO STLos Angeles, CA 90033-5313
Mailing Address1500 San Pablo StLos Angeles, CA 90033-5313 · (317) 345-1039
Phone(800) 872-2273
Sole ProprietorNo
Enumeration DateMarch 24, 2022
Last NPPES UpdateAugust 30, 2022
NPPES CertifiedMay 2, 2022
✔ NPI 1093465973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · 9123
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1500 SAN PABLO ST, Los Angeles, CA 90033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell Fennerty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CATHY KIEM NGO CRNA
Nurse Anesthetist, Certified Registered
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7400
DR. THOMAS ALLEN BUCHANAN M.D.
Internal Medicine
1500 SAN PABLO ST, 3 NORTH UNIVERSITY HOSPITAL
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9576
DR. KASHIF TANVEER KHAN M.D.
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7400
BARBARA LEUNG
Occupational Therapist
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (800) 272-2273
MELANIE KUSONRUKSA M.D.
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7400
KAREN KIM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9385
DR. SHALINI SUNIL SHAH M.D.
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (714) 261-3585
TYLER DANIEL COHAN
Student in an Organized Health Care Education/Training Program
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (800) 872-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Fennerty's NPI number?

The NPI number for Mitchell Fennerty is 1093465973. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Mitchell Fennerty located?

Mitchell Fennerty practices at 1500 San Pablo St, Los Angeles, CA 90033. The listed phone number is (800) 872-2273.

What is Mitchell Fennerty's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mitchell Fennerty enrolled in Medicare?

Yes. Mitchell Fennerty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mitchell Fennerty was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.