MICHELLE LISKE M.D.
NPI 1326366121
Internal Medicine in San Diego, CA

Q: What is Michelle Liske's NPI number?

The NPI number for Michelle Liske is 1326366121. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Q: What is Michelle Liske's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Liske was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 04, 2010PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2163024 · Waiver

4340 GENESEE AVE STE 207, SAN DIEGO, CA 92117(858) 356-5600(858) 356-4965 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2022, Dec 9, 2020 (2 updates tracked since 2020).

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About Michelle Liske M.d. NPPES

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

MICHELLE LISKE M.D. (NPI 1326366121) is an individual internal medicine provider in San Diego, California, licensed in California (G79986) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 5, 2027, and is a graduate of Loma Linda University School Of Medicine (1993).

NPPES Registry Identity

NPI1326366121

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMICHELLE LISKECredential: M.D.

Location Address4340 GENESEE AVE STE 207San Diego, CA 92117-4940

Mailing Address8765 Aero Dr Ste 130San Diego, CA 92123-1767 · (858) 541-0181 · Fax (858) 430-0919

Phone(858) 356-5600

Fax(858) 356-4965

Sole ProprietorYes

Medical School CMSLoma Linda University School Of MedicineGraduated 1993

Enumeration DateMay 4, 2010

Last NPPES UpdateOctober 10, 20222 updates tracked since enumeration

NPPES CertifiedOctober 10, 2022

✔ NPI 1326366121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · G79986

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4340 GENESEE AVE STE 207, San Diego, CA 92117

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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

Michelle Liske 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 ID9234030040

PECOS Enrollment IDI20040115000608

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2163024

Michelle Liske MD Inc · San Diego, CA

Active · expires Mar 5, 2027

CLIA Number05D2163024

Laboratory TypePhysician Office

Certificate Effective DateMarch 6, 2025

Certificate Expiration DateMarch 5, 2027

Laboratory DirectorMichelle A. Liske

Laboratory Phone(858) 356-5600

Laboratory LocationMichelle Liske MD Inc4340 Genesee #207, San Diego, CA 92117

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

538 services204 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

126 services126 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

63 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92117 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604