MICHAEL JOSHUA CISCO MD
NPI 1457486300
Pediatrics - Pediatric Critical Care Medicine in Palo Alto, CA

Q: What is Michael Cisco's NPI number?

The NPI number for Michael Cisco is 1457486300. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Q: What is Michael Cisco's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Michael Cisco was last updated on March 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 February 22, 2007PECOS EnrolledAccepts Medicare Assignment

725 WELCH RD, PACKARD CHILDRENS HOSPITAL AT STANFORD, PALO ALTO, CA 94304(650) 723-7913 Get Directions Write a Review

NPPES record last updated: March 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Joshua Cisco Md NPPES

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

MICHAEL JOSHUA CISCO MD (NPI 1457486300) is an individual pediatric critical care medicine provider in Palo Alto, California, licensed in California (A87399) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2001).

NPPES Registry Identity

NPI1457486300

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameMICHAEL JOSHUA CISCOCredential: MD

Location Address725 WELCH RD, PACKARD CHILDRENS HOSPITAL AT STANFORDPalo Alto, CA 94304-1601

Mailing Address725 Welch Rd, Packard Childrens Hospital At StanfordPalo Alto, CA 94304-1601 · (650) 723-7913

Phone(650) 723-7913

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2001

Enumeration DateFebruary 22, 2007

Last NPPES UpdateMarch 10, 2015

✔ NPI 1457486300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CA · A87399

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

725 WELCH RD, Palo Alto, CA 94304

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Other Identifiers 2

Medicaid00A873990CA

Medicare UPINI13890CA

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 Joshua Cisco 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 ID4284609132

PECOS Enrollment IDI20040901001503

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.

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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)