DR. MICHAEL DAVID GENUALDI M.D.
NPI 1124482823
Internal Medicine - Geriatric Medicine in Berkeley, CA

Q: What is Michael Genualdi's NPI number?

The NPI number for Michael Genualdi is 1124482823. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Q: What is Michael Genualdi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: Is Michael Genualdi enrolled in Medicare?

No. Michael Genualdi has opted out of Medicare through July 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Michael Genualdi was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 08, 2016Opted out of Medicare · through Jul 9, 2028

1901 4TH ST STE 201, BERKELEY, CA 94710(510) 929-1400 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 28, 2024, Feb 5, 2024, May 18, 2020 (3 updates tracked since 2020).

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About Dr. Michael David Genualdi M.d. NPPES

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

DR. MICHAEL DAVID GENUALDI M.D. (NPI 1124482823) is an individual geriatric medicine provider in Berkeley, California, licensed in California (A151396) and active in the NPI registry since April 2016. He has opted out of Medicare through July 9, 2028 and remains eligible to order and refer and is a graduate of New York Medical College (2016).

NPPES Registry Identity

NPI1124482823

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameDR. MICHAEL DAVID GENUALDICredential: M.D.

Location Address1901 4TH ST STE 201Berkeley, CA 94710-1986

Mailing AddressPo Box 511250Los Angeles, CA 90051-7805 · (510) 929-1400

Phone(510) 929-1400

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2016

Enumeration DateApril 8, 2016

Last NPPES UpdateJune 28, 20243 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1124482823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in CA · A151396

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

1901 4TH ST STE 201, Berkeley, CA 94710

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael David Genualdi M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 9, 2026 through July 9, 2028.

Opt-Out Effective DateJuly 9, 2026

Opt-Out In Effect ThroughJuly 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled P9603

This service covers travel costs for healthcare professionals to collect necessary lab specimens from patients who are homebound or in nursing homes. The allowance is calculated based on the actual miles traveled to perform this service.

982 services30 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

362 services255 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

285 services150 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

162 services117 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

134 services42 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

52 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94710 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

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 8

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

AMANDA MARIE ILAG AGNP

Nurse Practitioner (Primary Care)