DR. ETHAN MCKENZIE M.D.
NPI 1700073830
Anesthesiology in Mountain View, CA
About Dr. Ethan Mckenzie M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ETHAN MCKENZIE M.D. (NPI 1700073830) is an individual anesthesiology provider in Mountain View, California, licensed in California (A105419) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Stanford, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Dr. Ethan Mckenzie 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 Ethan Mckenzie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mountain View, CA 94040
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1568851327 (California), NPI 1013950807 (California), NPI 1104067115 (California), NPI 1033817168 (California), NPI 1306241534 (California)
- 373 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 5
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.
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.
MOUNTAIN VIEW, CA 94040
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 Ethan Mckenzie's NPI number?
The NPI number for Ethan Mckenzie is 1700073830. It was assigned to this individual provider in the NPPES registry on October 2, 2007.
Where is Ethan Mckenzie located?
Ethan Mckenzie practices at 701 E El Camino Real, Mountain View, CA 94040. The listed phone number is (650) 404-8444.
What is Ethan Mckenzie's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Ethan Mckenzie enrolled in Medicare?
Yes. Ethan Mckenzie 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 Ethan Mckenzie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Mckenzie reassigns Medicare benefits to Sutter Bay Medical Foundation (Mountain View, 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 Ethan Mckenzie'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 Ethan Mckenzie was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.