MICHAEL E. ENNIS MD
NPI 1205914363
Anesthesiology in Walnut Creek, CA

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
61.16/100
CMS Quality Rating
1425 S MAIN ST, WALNUT CREEK, CA 94596(925) 295-4000 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael E. Ennis Md NPPES

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

MICHAEL E. ENNIS MD (NPI 1205914363) is an individual anesthesiology provider in Walnut Creek, California, licensed in California (G70960) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1989).

NPPES Registry Identity

NPI1205914363
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMICHAEL E. ENNISCredential: MD
Location Address1425 S MAIN STWalnut Creek, CA 94596-5318
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1989
Enumeration DateNovember 2, 2006
Last NPPES UpdateDecember 22, 2021
NPI 1205914363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in CA · G70960
Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1425 S MAIN ST, Walnut Creek, CA 94596

Other Identifiers 1

Medicaid00G709600CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael E. Ennis 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.

PECOS PAC ID9335324904
PECOS Enrollment IDI20110425000603
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 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.

61.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality50.6
Improvement Activities40

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 (Adult Health)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Nurse Practitioner (Adult Health)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Nurse Practitioner (Women's Health)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Nurse Practitioner (Pediatrics)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Pathology (Anatomic Pathology & Clinical Pathology)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Nurse Practitioner (Gerontology)
1425 S MAIN ST, MOB 3RD FLOOR SURGERY CLINIC
WALNUT CREEK, CA 94596
Psychiatry & Neurology (Neurology)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Internal Medicine
1425 S MAIN ST
WALNUT CREEK, CA 94596

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205914363, enumerated as an "individual" on November 02, 2006.

The provider is located at 1425 S MAIN ST WALNUT CREEK, CA 94596 and the phone number is (925) 295-4000.

Anesthesiology with taxonomy code 207L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.