MICHAEL SEPULVEDA MD
NPI 1164425757
Internal Medicine in San Juan Bautista, CA
About Michael Sepulveda Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL SEPULVEDA MD (NPI 1164425757) is an individual internal medicine provider in San Juan Bautista, California, licensed in California (A64123) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Michael Sepulveda Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Michael Sepulveda reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Prunedale, CA 93907
- Reassigned Medicare billing, California enrollment
- 284 clinicians in this Medicare group
Hollister, CA 95023
- Reassigned Medicare billing, California enrollment
- 73 clinicians in this Medicare group
Salinas, CA 93901
- Reassigned Medicare billing, California enrollment
- 310 clinicians in this Medicare group
Los Gatos, CA 95032
- Reassigned Medicare billing, California enrollment
- 962 clinicians in this Medicare group
San Mateo, CA 94403
- Reassigned Medicare billing, California enrollment
- 430 clinicians in this Medicare group
Alhambra, CA 91801
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Apollomed Hospitalists A Medical Corporation
- 25 clinicians in this Medicare group
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 914 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Michael Sepulveda's NPI number?
The NPI number for Michael Sepulveda is 1164425757. It was assigned to this individual provider in the NPPES registry on May 27, 2005.
Where is Michael Sepulveda located?
Michael Sepulveda practices at 342 Via Vaquero Sur, San Juan Bautista, CA 95045. The listed phone number is (831) 325-6459.
What is Michael Sepulveda's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Michael Sepulveda enrolled in Medicare?
Yes. Michael Sepulveda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Michael Sepulveda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Sepulveda reassigns Medicare benefits to 7 organizations: County Of Monterey (Prunedale, CA), Hazel Hawkins Memorial Hospital (Hollister, CA), Svmhs Clinics (Salinas, CA), Galen Inpatient Physicians Inc (Los Gatos, CA), County Of San Mateo (San Mateo, CA) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Sepulveda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michael Sepulveda was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Michael Sepulveda, MD · NPI 1164425757
Internal Medicine physician in San Juan Bautista, California. Individual provider, active in the CMS NPPES registry since May 27, 2005.
## Identity
- **NPI:** 1164425757 (Entity type: Individual)
- **Enumerated:** May 27, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A64123 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 342 VIA VAQUERO SUR, San Juan Bautista, CA 95045-9307
- **Phone:** (831) 325-6459
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): County Of Monterey (NPI 1063151363, Prunedale, CA); Hazel Hawkins Memorial Hospital (NPI 1275578817, Hollister, CA); Svmhs Clinics (NPI 1093158347, Salinas, CA); Galen Inpatient Physicians Inc (NPI 1164992384, Los Gatos, CA); County Of San Mateo (NPI 1831268580, San Mateo, CA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** March 24, 2015
- **Other identifiers:** Medicare UPIN H52317 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1164425757) · Data from the CMS NPPES public registry.