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MICHAEL V ZELMAN M.D.
NPI 1790732964
Internal Medicine in Santa Monica, CA

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2222 SANTA MONICA BLVD, SUITE 205, SANTA MONICA, CA 90404(310) 449-1007(310) 449-0081 Get Directions Write a Review

NPPES record last updated: July 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael V Zelman M.d. NPPES

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

MICHAEL V ZELMAN M.D. (NPI 1790732964) is an individual internal medicine provider in Santa Monica, California, licensed in California (G74632) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1790732964
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL V ZELMANCredential: M.D.
Location Address2222 SANTA MONICA BLVD, SUITE 205Santa Monica, CA 90404-2304
Mailing Address2222 Santa Monica Blvd, Suite 205Santa Monica, CA 90404-2304 · (310) 449-1007 · Fax (310) 449-0081
Phone(310) 449-1007
Fax(310) 449-0081
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateMay 31, 2006
Last NPPES UpdateJuly 17, 2009
✔ NPI 1790732964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G74632
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.
2222 SANTA MONICA BLVD, Santa Monica, CA 90404
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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

Michael V Zelman 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.

PECOS PAC ID6608928742
PECOS Enrollment IDI20090721000101
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0969546

Michael Zelman MD · Santa Monica, CA
Expired · Aug 8, 2026
CLIA Number05D0969546
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorMichael Zelman MD
Laboratory Phone(310) 449-1007
Laboratory LocationMichael Zelman MD2222 Santa Monica Blvd Ste 205, Santa Monica, CA 90404
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
571 services189 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
219 services219 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
205 services205 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
167 services123 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
123 services123 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
82 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers49 claims72 services$5.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers34 claims34 services$1.06 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier18 claims78 services$1.45 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
1 supplier18 claims78 services$0.45 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims2,482 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers16 claims16 services$22.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HARRIET T COKELY MD INC
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2222 SANTA MONICA BLVD, SUITE 402
SANTA MONICA, CA 90404
Los Angeles County (310) 828-5900
PACIFIC WELLCARE PHYSICAL THERAPY
Physical Therapist
2222 SANTA MONICA BLVD, SUITE 404
SANTA MONICA, CA 90404
Los Angeles County (323) 983-1033
JAY GROSS, M.D., A PROFESSIONAL CORPORATION
Ophthalmology
2222 SANTA MONICA BLVD, SUITE 107
SANTA MONICA, CA 90404
Los Angeles County (310) 496-3770
DR. CATHERINE BALESTRIERI PSY.D.
Psychologist (Clinical)
2222 SANTA MONICA BLVD, SUITE 105
SANTA MONICA, CA 90404
Los Angeles County (424) 272-0510
MRS. MAY K CHATILA M.D.
Internal Medicine (Rheumatology)
2222 SANTA MONICA BLVD, SUITE 405
SANTA MONICA, CA 90404
Los Angeles County (310) 315-3500
DR. LILLIAN RATELL N.D.
Naturopath
2222 SANTA MONICA BLVD, STE 105
SANTA MONICA, CA 90404
Los Angeles County (310) 828-8258
DR. ALI MOGHAREI DDS
Dentist (General Practice)
2222 SANTA MONICA BLVD, SUITE 202
SANTA MONICA, CA 90404
Los Angeles County (310) 829-2224
CENIGENT HEALTH ENHANCEMENT MEDICAL INSTITUTE, A MEDICAL CORPORATION
Clinic/Center (Primary Care)
2222 SANTA MONICA BLVD, SUITE 200
SANTA MONICA, CA 90404
Los Angeles County (310) 998-8600

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 Zelman's NPI number?

The NPI number for Michael Zelman is 1790732964. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Michael Zelman located?

Michael Zelman practices at 2222 Santa Monica Blvd Suite 205, Santa Monica, CA 90404. The listed phone number is (310) 449-1007.

What is Michael Zelman's specialty?

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

Is Michael Zelman enrolled in Medicare?

Yes. Michael Zelman 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.

When was this NPI record last updated?

The NPPES record for Michael Zelman was last updated on July 17, 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.