JENNIFER GIBNEY MICHLITSCH M.D.
NPI 1528117256
Pediatrics - Pediatric Hematology-Oncology in Oakland, CA

Active since January 10, 2007PECOS Enrolled
75/100
CMS Quality Rating
747 52ND ST, OAKLAND, CA 94609(510) 428-3885 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Gibney Michlitsch M.d. NPPES

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

JENNIFER GIBNEY MICHLITSCH M.D. (NPI 1528117256) is an individual pediatric hematology-oncology provider in Oakland, California, licensed in California (A81976) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528117256
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameJENNIFER GIBNEY MICHLITSCHCredential: M.D.
Location Address747 52ND STOakland, CA 94609-1809
Mailing Address5528 Pacheco Blvd, Ste APacheco, CA 94553-5126 · (925) 363-8170
Sole ProprietorNo
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1528117256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in CA · A81976
Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

747 52ND ST, Oakland, CA 94609

Other Identifiers 1

OtherA81976CA · State Phys Lisc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Gibney Michlitsch M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Nurse Practitioner
747 52ND ST
OAKLAND, CA 94609
Pediatrics (Pediatric Cardiology)
747 52ND ST
OAKLAND, CA 94609
Pediatrics (Pediatric Cardiology)
747 52ND ST
OAKLAND, CA 94609
Pediatrics (Pediatric Cardiology)
747 52ND ST, CARDIOLOGY
OAKLAND, CA 94609
Pediatrics (Pediatric Cardiology)
747 52ND ST, CARDIOLOGY
OAKLAND, CA 94609
Pediatrics (Pediatric Critical Care Medicine)
747 52ND ST
OAKLAND, CA 94609
Pediatrics (Pediatric Critical Care Medicine)
747 52ND ST
OAKLAND, CA 94609
Pediatrics (Pediatric Cardiology)
747 52ND ST
OAKLAND, CA 94609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528117256, enumerated as an "individual" on January 10, 2007.

The provider is located at 747 52ND ST OAKLAND, CA 94609 and the phone number is (510) 428-3885.

Pediatrics with taxonomy code 2080P0207X and a focus in Pediatric Hematology-Oncology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.