DR. MICHAEL LANE GINSBERG MD
NPI 1710128558
Pediatrics - Adolescent Medicine in Fairfield, CA

Q: What is Michael Ginsberg's NPI number?

The NPI number for Michael Ginsberg is 1710128558. It was assigned to this individual provider in the NPPES registry on March 6, 2009.

Q: What is Michael Ginsberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Ginsberg was last updated on October 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 March 06, 2009PECOS EnrolledAccepts Medicare Assignment

2458 HILBORN RD, FAIRFIELD, CA 94534(707) 646-5500(707) 646-5501 Get Directions Write a Review

NPPES record last updated: October 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Michael Lane Ginsberg Md NPPES

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

DR. MICHAEL LANE GINSBERG MD (NPI 1710128558) is an individual adolescent medicine provider in Fairfield, California, licensed in California (A106486) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2005).

NPPES Registry Identity

NPI1710128558

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameDR. MICHAEL LANE GINSBERGCredential: MD

Location Address2458 HILBORN RDFairfield, CA 94534-1072

Mailing Address2458 Hilborn RdFairfield, CA 94534-1072 · (707) 646-5500 · Fax (707) 646-5501

Phone(707) 646-5500

Fax(707) 646-5501

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2005

Enumeration DateMarch 6, 2009

Last NPPES UpdateOctober 27, 2009

✔ NPI 1710128558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Licenses✔ Licensed in CA · A106486✔ Licensed in NY · 250559

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

2458 HILBORN RD, Fairfield, CA 94534

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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 and accepts Medicare assignment

Dr. Michael Lane Ginsberg Md 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.

PECOS PAC ID9537294046

PECOS Enrollment IDI20100322000724

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.

Other Providers at the Same Location NPPES 14

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

NGUYEN NGUYEN

Family Medicine