MICHAEL ANDREW POULIOT M.D.
NPI 1184940280
Student in an Organized Health Care Education/Training Program in Palo Alto, CA

Active since April 14, 2010PECOS EnrolledAccepts Medicare Assignment
300 PASTEUR DR, PALO ALTO, CA 94304(650) 723-4000 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 11, 2022, Dec 19, 2015 (2 updates tracked since 2015).

About Michael Andrew Pouliot M.d. NPPES

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

MICHAEL ANDREW POULIOT M.D. (NPI 1184940280) is an individual student in an organized health care education/training program in Palo Alto, California and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2010).

NPPES Registry Identity

NPI1184940280
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL ANDREW POULIOTCredential: M.D.
Location Address300 PASTEUR DRPalo Alto, CA 94304-2203
Mailing Address1416 Queen Anne Ave NSeattle, WA 98109 · (650) 796-4353
Sole ProprietorYes
Medical School CMSStanford University School Of MedicineGraduated 2010
Enumeration DateApril 14, 2010
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
✔ NPI 1184940280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 PASTEUR DR, Palo Alto, CA 94304

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 Andrew Pouliot M.d. 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.

PECOS PAC ID7315248952
PECOS Enrollment IDI20161122002121
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Pouliot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 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.

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.

Nurse Practitioner
300 PASTEUR DR
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychosomatic Medicine)
300 PASTEUR DR
PALO ALTO, CA 94304
Psychologist (Clinical)
300 PASTEUR DR
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Colon & Rectal Surgery
300 PASTEUR DR
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304

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 Pouliot's NPI number?

The NPI number for Michael Pouliot is 1184940280. It was assigned to this individual provider in the NPPES registry on April 14, 2010.

Where is Michael Pouliot located?

Michael Pouliot practices at 300 Pasteur Dr, Palo Alto, CA 94304. The listed phone number is (650) 723-4000.

What is Michael Pouliot's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Pouliot enrolled in Medicare?

Yes. Michael Pouliot 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 organization bills Medicare for Michael Pouliot's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Pouliot reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The 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 Pouliot'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 Pouliot was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.