MICHAEL P. MC NICOLL MD
NPI 1609943513
Otolaryngology - Plastic Surgery within the Head & Neck in Los Angeles, CA

Q: What is Michael Mc Nicoll's NPI number?

The NPI number for Michael Mc Nicoll is 1609943513. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Michael Mc Nicoll's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mc Nicoll was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 29, 2006PECOS Enrolled

4733 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 783-4011 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael P. Mc Nicoll Md NPPES

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

MICHAEL P. MC NICOLL MD (NPI 1609943513) is an individual plastic surgery within the head & neck provider in Los Angeles, California, licensed in California (G52624) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609943513

Entity TypeIndividualMale

Primary Taxonomy207YX0007X

Provider Legal NameMICHAEL P. MC NICOLLCredential: MD

Location Address4733 W SUNSET BLVDLos Angeles, CA 90027-6021

Mailing Address4733 W Sunset BlvdLos Angeles, CA 90027-6021 · (323) 783-4011

Phone(323) 783-4011

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateNovember 30, 2021

✔ NPI 1609943513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in CA · G52624

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

4733 W SUNSET BLVD, Los Angeles, CA 90027

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael P. Mc Nicoll Md 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.

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Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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