MICHELLE DAJDUMRONGWOOD CRNA
NPI 1568720902
Nurse Anesthetist, Certified Registered in Woodland Hills, CA
About Michelle Dajdumrongwood Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE DAJDUMRONGWOOD CRNA (NPI 1568720902) is an individual nurse anesthetist, certified registered in Woodland Hills, California, licensed in California (091420) and active in the NPI registry since April 2012. She is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Michelle Dajdumrongwood Crna 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.
Medicare Billing Reassignments
5Medicare enrollment records show Michelle Dajdumrongwood reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woodland Hills, CA 91367
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Reseda, CA 91335
- Reassigned Medicare billing, California enrollment
- 109 clinicians in this Medicare group
Van Nuys, CA 91405
- Reassigned Medicare billing, California enrollment
Los Angeles, CA 90015
- Reassigned Medicare billing, California enrollment
- 76 clinicians in this Medicare group
Pasadena, CA 91105
- Reassigned Medicare billing, California enrollment
- 214 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91367 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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 Michelle Dajdumrongwood's NPI number?
The NPI number for Michelle Dajdumrongwood is 1568720902. It was assigned to this individual provider in the NPPES registry on April 23, 2012.
Where is Michelle Dajdumrongwood located?
Michelle Dajdumrongwood practices at 5636 Blanco Ave, Woodland Hills, CA 91367. The listed phone number is (818) 926-8898.
What is Michelle Dajdumrongwood's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Michelle Dajdumrongwood enrolled in Medicare?
Yes. Michelle Dajdumrongwood 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.
Which organizations bill Medicare for Michelle Dajdumrongwood's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Dajdumrongwood reassigns Medicare benefits to 5 organizations: Southern California Permanente Medical Group (Woodland Hills, CA), Algos Inc., A Medical Corporation (Reseda, CA), M Dajdumrongwood Anesthesia A Professional Nursing Corp (Van Nuys, CA), Socal Anesthesia Solutions, Inc (Los Angeles, CA) and Pacific Valley Medical Group (Pasadena, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Dajdumrongwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michelle Dajdumrongwood was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Michelle Dajdumrongwood, CRNA · NPI 1568720902
Nurse Anesthetist, Certified Registered physician in Woodland Hills, California. Individual provider, active in the CMS NPPES registry since April 23, 2012.
## Identity
- **NPI:** 1568720902 (Entity type: Individual)
- **Enumerated:** April 23, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 091420 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5636 BLANCO AVE, Woodland Hills, CA 91367-4007
- **Phone:** (818) 926-8898
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1952333478, Woodland Hills, CA); Algos Inc., A Medical Corporation (NPI 1780829952, Reseda, CA); M Dajdumrongwood Anesthesia A Professional Nursing Corp (NPI 1134904493, Van Nuys, CA); Socal Anesthesia Solutions, Inc (NPI 1407596901, Los Angeles, CA); Pacific Valley Medical Group (NPI 1851312862, Pasadena, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1568720902) · Data from the CMS NPPES public registry.