MICHAEL ANTHONY AMADEO N.P.
NPI 1376947648
Nurse Practitioner - Family in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since October 15, 2014PECOS EnrolledAccepts Medicare Assignment

4077 5TH AVE, EMS, SAN DIEGO, CA 92103(626) 447-0296(626) 623-1227 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 27, 2023, Jul 11, 2019, Sep 18, 2017 (3 updates tracked since 2017).

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About Michael Anthony Amadeo N.p. NPPES

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

MICHAEL ANTHONY AMADEO N.P. (NPI 1376947648) is an individual family provider in San Diego, California, licensed in California (95001539) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1376947648

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMICHAEL ANTHONY AMADEOCredential: N.P.

Location Address4077 5TH AVE, EMSSan Diego, CA 92103-2105

Mailing AddressPo Box 1524Arcadia, CA 91077-1524 · (626) 447-0296 · Fax (626) 447-6057

Phone(626) 447-0296

Fax(626) 623-1227

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 15, 2014

Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration

✔ NPI 1376947648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95001539

4077 5TH AVE, San Diego, CA 92103

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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 Anthony Amadeo N.p. 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 ID6305169004

PECOS Enrollment IDI20150105001883

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 92103 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

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.