DR. MICHAEL ANGEL JIMENEZ M.D.
NPI 1679766331
Surgery in Fountain Hill, PA
About Dr. Michael Angel Jimenez M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL ANGEL JIMENEZ M.D. (NPI 1679766331) is an individual surgery provider in Fountain Hill, Pennsylvania, licensed in Pennsylvania (MT189479) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2006).
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
Dr. Michael Angel Jimenez M.d. 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 Reassignment
Medicare enrollment records show Michael Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pomona, CA 91767
- Reassigned Medicare billing, California enrollment
- 12 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Michael Jimenez's NPI number?
The NPI number for Michael Jimenez is 1679766331. It was assigned to this individual provider in the NPPES registry on August 24, 2007.
Where is Michael Jimenez located?
Michael Jimenez practices at 1064 Delaware Ave Apt 2, Fountain Hill, PA 18015. The listed phone number is (310) 435-4140.
What is Michael Jimenez's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Michael Jimenez enrolled in Medicare?
Yes. Michael Jimenez 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 organization bills Medicare for Michael Jimenez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Jimenez reassigns Medicare benefits to The Institute Of Trauma And Acute Care Inc (Pomona, CA). The 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 Michael Jimenez'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 Michael Jimenez was last updated on August 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Michael Angel Jimenez, M.D. · NPI 1679766331
Surgery physician in Fountain Hill, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 24, 2007.
## Identity
- **NPI:** 1679766331 (Entity type: Individual)
- **Enumerated:** August 24, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** MT189479 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1064 DELAWARE AVE, APT 2, Fountain Hill, PA 18015-2509
- **Phone:** (310) 435-4140
## 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:** The Institute Of Trauma And Acute Care Inc (NPI 1740711324, Pomona, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** August 24, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1679766331) · Data from the CMS NPPES public registry.