JEREMY P. MIGHDOLL MD
NPI 1871641894
Emergency Medicine in Los Angeles, CA
About Jeremy P. Mighdoll Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY P. MIGHDOLL MD (NPI 1871641894) is an individual emergency medicine provider in Los Angeles, California, licensed in California (A95918) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeremy P. Mighdoll Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Mighdoll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 13,921 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90027
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 Jeremy Mighdoll's NPI number?
The NPI number for Jeremy Mighdoll is 1871641894. It was assigned to this individual provider in the NPPES registry on January 8, 2007.
Where is Jeremy Mighdoll located?
Jeremy Mighdoll practices at 4733 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 783-4011.
What is Jeremy Mighdoll's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jeremy Mighdoll enrolled in Medicare?
Yes. Jeremy Mighdoll is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeremy Mighdoll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Mighdoll reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, 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 Jeremy Mighdoll'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 Jeremy Mighdoll was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jeremy P. Mighdoll, MD · NPI 1871641894
Emergency Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1871641894 (Entity type: Individual)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A95918 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4733 W SUNSET BLVD, Los Angeles, CA 90027-6021
- **Phone:** (323) 783-4011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1871641894) · Data from the CMS NPPES public registry.