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

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: October 25, 2026.

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
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

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 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Ginsberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Addiction Medicine
1860 PENNSYLVANIA AVE STE 230
Fairfield, CA 94533
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Northbay Physicians Surgery Center, LLC
  • 516 clinicians in this Medicare group
Internal Medicine
4500 BUSINESS CENTER DR
Fairfield, CA 94534
  • Reassigned Medicare billing, California enrollment
  • 225 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.

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.

Family Medicine
2458 HILBORN RD
FAIRFIELD, CA 94534
Internal Medicine (Cardiovascular Disease)
2458 HILBORN RD
FAIRFIELD, CA 94534
Physician Assistant
2458 HILBORN RD
FAIRFIELD, CA 94534
Pediatrics
2458 HILBORN RD
FAIRFIELD, CA 94534
Nurse Practitioner (Family)
2458 HILBORN RD
FAIRFIELD, CA 94534
Internal Medicine
2458 HILBORN RD
FAIRFIELD, CA 94534
Family Medicine
2458 HILBORN RD
FAIRFIELD, CA 94534
Nurse Practitioner (Acute Care)
2458 HILBORN RD
FAIRFIELD, CA 94534

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 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.

Where is Michael Ginsberg located?

Michael Ginsberg practices at 2458 Hilborn Rd, Fairfield, CA 94534. The listed phone number is (707) 646-5500.

What is Michael Ginsberg's specialty?

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

Is Michael Ginsberg enrolled in Medicare?

Yes. Michael Ginsberg 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 Michael Ginsberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ginsberg reassigns Medicare benefits to 2 organizations: Northbay Healthcare Group (Fairfield, CA) and Northbay Health Medical Foundation (Fairfield, 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 Michael Ginsberg'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 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 17 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.