MICHAEL L. MEDVIN M.D.
NPI 1174572952
Emergency Medicine in Santa Rosa, CA

Q: What is Michael Medvin's NPI number?

The NPI number for Michael Medvin is 1174572952. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Q: What is Michael Medvin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Medvin was last updated on February 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 09, 2006PECOS Enrolled

1287 FULTON RD, SANTA ROSA, CA 95401(707) 888-5808(707) 577-8315 Get Directions Write a Review

NPPES record last updated: February 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michael L. Medvin M.d. NPPES

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

MICHAEL L. MEDVIN M.D. (NPI 1174572952) is an individual emergency medicine provider in Santa Rosa, California, licensed in California (G67405) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174572952

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMICHAEL L. MEDVINCredential: M.D.

Location Address1287 FULTON RDSanta Rosa, CA 95401-4923

Mailing Address122 Calistoga Rd. #343Santa Rosa, CA 95409 · (707) 888-5808 · Fax (707) 577-8315

Phone(707) 888-5808

Fax(707) 577-8315

Sole ProprietorNo

Enumeration DateMay 9, 2006

Last NPPES UpdateFebruary 25, 2013

✔ NPI 1174572952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · G67405

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1287 FULTON RD, Santa Rosa, CA 95401

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Other Identifiers 1

Medicare PINAQ305YCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael L. Medvin M.d. 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 95401 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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 20

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

TRADITIONS PSYCHIATRY GROUP, P.C

Psychiatry & Neurology (Psychiatry)

1287 FULTON RD
SANTA ROSA, CA 95401

Sonoma County (707) 258-8757

ROBERT ALLEN KAYSER MD

Specialist

1287 FULTON RD
SANTA ROSA, CA 95401

Sonoma County (707) 543-2440

NAKISA KIA'I MD

Psychiatry & Neurology (Psychiatry)

1287 FULTON RD
SANTA ROSA, CA 95401

Sonoma County (707) 800-7700

JORDAN ROSE

Nurse Practitioner (Psychiatric/Mental Health)

1287 FULTON RD
SANTA ROSA, CA 95401

Sonoma County (707) 800-7700

CENTER FOR DIAGNOSTIC AND INTERVENTIONAL PSYCHIATRY

Psychiatry & Neurology (Psychiatry)

1287 FULTON RD
SANTA ROSA, CA 95401

Sonoma County (707) 800-7716

ROSE HATHAWAY DAKIN RN

Student in an Organized Health Care Education/Training Program

1287 FULTON RD
SANTA ROSA, CA 95401

Sonoma County (707) 800-7700

PATRICIA K STAGG M.D.

Emergency Medicine

1287 FULTON RD, ST JOSEPH'S URGENT CARE - FULTON CAMPUS
SANTA ROSA, CA 95401

Sonoma County (707) 543-2000

JON STERNGOLD MD

General Practice

1287 FULTON RD
SANTA ROSA, CA 95401

Sonoma County (707) 595-3133

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 Medvin's NPI number?

The NPI number for Michael Medvin is 1174572952. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Michael Medvin located?

Michael Medvin practices at 1287 Fulton Rd, Santa Rosa, CA 95401. The listed phone number is (707) 888-5808.

What is Michael Medvin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Medvin enrolled in Medicare?

Yes. Michael Medvin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Medvin was last updated on February 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.