MICHAELA LIEDTKE MD
NPI 1609918556
Internal Medicine - Hematology in Stanford, CA
About Michaela Liedtke Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAELA LIEDTKE MD (NPI 1609918556) is an individual hematology provider in Stanford, California, licensed in California (A86006) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and maintains a secondary practice location in Stanford.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Michaela Liedtke 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michaela Liedtke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 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.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Renown Regional Medical Center
Acute Care Hospitals · Reno, NVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94305 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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Michaela Liedtke's NPI number?
The NPI number for Michaela Liedtke is 1609918556. It was assigned to this individual provider in the NPPES registry on February 13, 2007.
Where is Michaela Liedtke located?
Michaela Liedtke practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.
What is Michaela Liedtke's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.
Is Michaela Liedtke enrolled in Medicare?
Yes. Michaela Liedtke 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 Michaela Liedtke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Liedtke reassigns Medicare benefits to 2 organizations: Stanford Health Care (Stanford, CA) and Lpch Medical Group Div Of Lucile (Palo Alto, 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 Michaela Liedtke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michaela Liedtke affiliated with any hospitals?
According to CMS data, Michaela Liedtke is affiliated with Renown Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Michaela Liedtke was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Michaela Liedtke, MD · NPI 1609918556
Hematology physician in Stanford, California. Individual provider, active in the CMS NPPES registry since February 13, 2007.
## Identity
- **NPI:** 1609918556 (Entity type: Individual)
- **Enumerated:** February 13, 2007
- **Primary specialty:** Internal Medicine - Hematology · taxonomy 207RH0000X
- **State license:** A86006 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2200
- **Phone:** (650) 723-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Stanford Health Care (NPI 1437292927, Stanford, CA); Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** April 12, 2024
- **Other identifiers:** Medicaid 00A860060 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1609918556) · Data from the CMS NPPES public registry.