Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GENIEMD MEDICAL GROUP, MO, P.C.
NPI 1639710643
Internal Medicine in Oakland, CA

Active since October 01, 2019
1111 BROADWAY STE 300, OAKLAND, CA 94607(925) 460-9191 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2026, Feb 10, 2023, Apr 23, 2020 and 1 more (4 updates tracked since 2019).

About Geniemd Medical Group, Mo, P.c. NPPES

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

GENIEMD MEDICAL GROUP, MO, P.C. (NPI 1639710643) is a healthcare organization registered as an internal medicine in Oakland, California and active in the NPI registry since October 2019. The organization lists David Mansour Filsoof, President, as its authorized official.

NPPES Registry Identity

NPI1639710643
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGENIEMD MEDICAL GROUP, MO, P.C.
Location Address1111 BROADWAY STE 300Oakland, CA 94607-4167
Mailing Address9000 Crow Canyon RdDanville, CA 94506-1189 · (925) 460-9191
Organization SubpartNo
Authorized OfficialDavid Mansour FilsoofPresident · (925) 460-9191
Enumeration DateOctober 1, 2019
Last NPPES UpdateSeptember 18, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1639710643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1111 BROADWAY STE 300, Oakland, CA 94607

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Geniemd Medical Group, Mo, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

62

Medicare enrollment records show 62 clinicians reassign Medicare billing to Geniemd Medical Group, Mo, P.C., which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Emergency Medicine25
Internal Medicine16
Family Practice12
Allergy/Immunology1
Anesthesiology1
Cardiovascular Disease (Cardiology)1
General Surgery1
Interventional Pain Management1
4 other specialties4

Nearest to this location (20)

See all 62
Obstetrics/Gynecology
NPI 1194782649
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 321-4121
✔ PECOS✔ Accepts Medicare26 mi
Internal Medicine
NPI 1538177316
132 KAHLE DR UNIT L
Stateline, NV 89449
(215) 287-0412
✔ PECOS✔ Accepts Medicare150 mi
Family Practice
NPI 1831350024
13652 CANTARA ST
Panorama City, CA 91402
(703) 362-2029
✔ PECOS✔ Accepts Medicare328 mi
Emergency Medicine
NPI 1558357723
8700 BEVERLY BLVD
Los Angeles, CA 90048
(310) 423-8780
✔ PECOS✔ Accepts Medicare337 mi
Family Practice
NPI 1255835096
8767 WILSHIRE BLVD FL 3
Beverly Hills, CA 90211
(310) 385-6031
✔ PECOS✔ Accepts Medicare337 mi
Cardiovascular Disease (Cardiology)
NPI 1861686354
150 N ROBERTSON BLVD
Beverly Hills, CA 90211
(310) 854-4995
✔ PECOS✔ Accepts Medicare337 mi
Nuclear Medicine
NPI 1316961550
6033 W CENTURY BLVD STE 200
Los Angeles, CA 90045
(310) 215-1600
✔ PECOS✔ Accepts Medicare344 mi
Family Practice
NPI 1548614811
1900 E SLAUSON AVE
Huntington Park, CA 90255
(213) 741-1106
✔ PECOS✔ Accepts Medicare347 mi
Internal Medicine
NPI 1508020819
17071 SPRINGDALE ST
Huntington Beach, CA 92649
(714) 377-9333
✔ PECOS369 mi
Family Practice
NPI 1710123609
1170 BAKER ST STE H1
Costa Mesa, CA 92626
(949) 791-3250
✔ PECOS✔ Accepts Medicare375 mi
Internal Medicine
NPI 1568621910
6640 ALTON PKWY
Irvine, CA 92618
(714) 644-2210
✔ PECOS✔ Accepts Medicare381 mi
Emergency Medicine
NPI 1811075302
2185 W CITRACADO PKWY EMERGENCY DEPARTMENT
Escondido, CA 92029
(442) 281-5000
✔ PECOS434 mi
Anesthesiology
NPI 1437324514
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOS453 mi
Neurology
NPI 1033205083
102 N MAGDALEN ST
San Angelo, TX 76903
(325) 747-2041
✔ PECOS✔ Accepts Medicare1,315 mi
Emergency Medicine
NPI 1952545550
6161 S YALE AVE
Tulsa, OK 74136
(918) 494-2200
✔ PECOS✔ Accepts Medicare1,459 mi
Internal Medicine
NPI 1346661857
6901 SNIDER PLZ STE 130
Dallas, TX 75205
(806) 928-8967
✔ PECOS✔ Accepts Medicare1,475 mi
Emergency Medicine
NPI 1356547640
7510 MCPHERSON RD
Laredo, TX 78041
(956) 242-6790
✔ PECOS✔ Accepts Medicare1,498 mi
General Surgery
NPI 1952387979
135 COMMONWEALTH DR STE 210
Greenville, SC 29615
(864) 675-4815
✔ PECOS✔ Accepts Medicare2,221 mi
Interventional Pain Management
NPI 1740235944
3627 BRODHEAD RD SUITE 1
Monaca, PA 15061
(724) 728-7880
✔ PECOS✔ Accepts Medicare2,238 mi
Medical Oncology
NPI 1073829909
3599 UNIVERSITY BLVD S
Jacksonville, FL 32216
(904) 474-2101
✔ PECOS✔ Accepts Medicare2,371 mi
See all 62 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Geniemd Medical Group, Mo, P.C.'s NPI number?

The NPI number for Geniemd Medical Group, Mo, P.C. is 1639710643. It was assigned to this organization in the NPPES registry on October 1, 2019.

Where is Geniemd Medical Group, Mo, P.C. located?

Geniemd Medical Group, Mo, P.C. is located at 1111 Broadway Ste 300, Oakland, CA 94607. The listed phone number is (925) 460-9191.

What is Geniemd Medical Group, Mo, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Geniemd Medical Group, Mo, P.C. enrolled in Medicare?

Yes. Geniemd Medical Group, Mo, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Geniemd Medical Group, Mo, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 12 Medicare specialties reassign their Medicare billing to Geniemd Medical Group, Mo, P.C.. A 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 the clinician's services. The largest specialties are Emergency Medicine (25), Internal Medicine (16) and Family Practice (12). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Geniemd Medical Group, Mo, P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Geniemd Medical Group, Mo, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Geniemd Medical Group, Mo, P.C. was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.