DR. MICHELLE TO M.D.
NPI 1831536564
Psychiatry & Neurology - Psychosomatic Medicine in Los Angeles, CA
NPI Status: Active since June 04, 2013
Contact Information
11301 WILSHIRE BLVD
LOS ANGELES, CA
ZIP 90073
Phone: (310) 268-3747
- Individual
- Female
- Years of Experience 13
- Psychiatry & Neurology
- Psychosomatic Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MICHELLE TO
This page provides the complete NPI Profile along with additional information for Michelle To, a provider established in Los Angeles, California with a medical specialization in Psychiatry & Neurology, focusing in psychosomatic medicine and more than 13 years of experience. She graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2013. The healthcare provider is registered in the NPI registry with number 1831536564 assigned on June 2013. The practitioner's primary taxonomy code is 2084P0015X with license number A158718 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1831536564
- Provider Name
- DR. MICHELLE TO M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11301 WILSHIRE BLVD LOS ANGELES, CA 90073
- Location Phone
- (310) 268-3747
- Mailing Address
- 11301 WILSHIRE BLVD LOS ANGELES, CA 90073
- Mailing Phone
- (310) 268-3747
- Medical School Name
- ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
- Graduation Year
- 2013
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-04-2013
- Last Update Date
- 04-26-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychosomatic Medicine
- Taxonomy Code
- 2084P0015X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A158718
- License State
- CA
- Taxonomy Description
- Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0015X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 278279 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Michelle To is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Michelle To is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3173942711
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20200930002071
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. MICHELLE TO M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1831536564, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831536564, enumerated as an "individual" on June 04, 2013.
The provider is located at 11301 WILSHIRE BLVD LOS ANGELES, CA 90073 and the phone number is (310) 268-3747.
Psychiatry & Neurology with taxonomy code 2084P0015X and a focus in Psychosomatic Medicine.
The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.
