MICHELLE JI
NPI 1619626439
Emergency Medicine in Brooklyn, NY
About Michelle Ji NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE JI (NPI 1619626439) is an individual emergency medicine provider in Brooklyn, New York, licensed in California (A208369) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2023).
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 Ji 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
3Medicare enrollment records show Michelle Ji reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Encinitas, CA 92024
- Reassigned Medicare billing, California enrollment
- 221 clinicians in this Medicare group
Lodi, CA 95240
- Reassigned Medicare billing, California enrollment
- 148 clinicians in this Medicare group
Pleasanton, CA 94588
- Reassigned Medicare billing, California enrollment
- 202 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 11219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
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 Ji's NPI number?
The NPI number for Michelle Ji is 1619626439. It was assigned to this individual provider in the NPPES registry on March 20, 2022.
Where is Michelle Ji located?
Michelle Ji practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.
What is Michelle Ji's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Michelle Ji enrolled in Medicare?
Yes. Michelle Ji 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 Ji's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Ji reassigns Medicare benefits to 3 organizations: Regents Of The University Of California (Encinitas, CA), Clinic Services Of California Medical Group Inc (Lodi, CA) and Team Physicians Of Northern California Medical Group Inc (Pleasanton, 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 Ji'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 Ji was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 Ji · NPI 1619626439
Emergency Medicine physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since March 20, 2022.
## Identity
- **NPI:** 1619626439 (Entity type: Individual)
- **Enumerated:** March 20, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A208369 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4802 10TH AVE, Brooklyn, NY 11219-2916
- **Phone:** (718) 283-6000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1952637050, Encinitas, CA); Clinic Services Of California Medical Group Inc (NPI 1578958450, Lodi, CA); Team Physicians Of Northern California Medical Group Inc (NPI 1649692716, Pleasanton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619626439) · Data from the CMS NPPES public registry.