MICHAEL MEDINA MD
NPI 1356503056
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Michael Medina's NPI number?

The NPI number for Michael Medina is 1356503056. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Q: What is Michael Medina's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Medina was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 June 25, 2008PECOS EnrolledAccepts Medicare Assignment

4860 Y ST STE 1600, SACRAMENTO, CA 95817(916) 734-3630 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Michael Medina Md NPPES

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

MICHAEL MEDINA MD (NPI 1356503056) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1356503056

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMICHAEL MEDINACredential: MD

Location Address4860 Y ST STE 1600Sacramento, CA 95817-2307

Mailing Address4860 Y St Ste 1600Sacramento, CA 95817-2307

Phone(916) 734-3630

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 25, 2008

✔ NPI 1356503056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

4860 Y ST STE 1600, Sacramento, CA 95817

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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

Michael Medina 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 ID5991976565

PECOS Enrollment IDI20110913000250

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers12 claims34 services$3.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CAMILLE B MADISON MD

Family Medicine