MICHAEL TANNENBAUM PA
NPI 1457553885
Physician Assistant in Modesto, CA
About Michael Tannenbaum Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL TANNENBAUM PA (NPI 1457553885) is an individual physician assistant in Modesto, California, licensed in Oregon (PA01230) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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 Tannenbaum Pa 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michael Tannenbaum's NPI number?
The NPI number for Michael Tannenbaum is 1457553885. It was assigned to this individual provider in the NPPES registry on June 5, 2007.
Where is Michael Tannenbaum located?
Michael Tannenbaum practices at 1808 Scenic Dr Apt 107, Modesto, CA 95355. The listed phone number is (510) 409-8966.
What is Michael Tannenbaum's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Michael Tannenbaum enrolled in Medicare?
Yes. Michael Tannenbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Michael Tannenbaum accept?
Health plans from Kaiser Permanente list Michael Tannenbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Michael Tannenbaum was last updated on June 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Michael Tannenbaum, PA · NPI 1457553885
Physician Assistant physician in Modesto, California. Individual provider, active in the CMS NPPES registry since June 5, 2007.
## Identity
- **NPI:** 1457553885 (Entity type: Individual)
- **Enumerated:** June 5, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA01230 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1808 SCENIC DR, APT 107, Modesto, CA 95355
- **Phone:** (510) 409-8966
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** June 12, 2009
- **Other identifiers:** Medicare PIN R144701 (OR); Medicare PIN P00697373 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1457553885) · Data from the CMS NPPES public registry.