DR. MICHAEL JOSEPH DISANDRO M.D.
NPI 1972539963
Urology - Pediatric Urology in Oakland, CA

Q: What is Michael Disandro's NPI number?

The NPI number for Michael Disandro is 1972539963. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is Michael Disandro's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Michael Disandro was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 23, 2006PECOS Enrolled

747 52ND ST, OAKLAND, CA 94609(510) 428-3885 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Michael Joseph Disandro M.d. NPPES

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

DR. MICHAEL JOSEPH DISANDRO M.D. (NPI 1972539963) is an individual pediatric urology provider in Oakland, California, licensed in California (G70600) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1972539963

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameDR. MICHAEL JOSEPH DISANDROCredential: M.D.

Location Address747 52ND STOakland, CA 94609-1809

Mailing Address3200 Sw 60th Ct, Suite 105Miami, FL 33155-4000 · (305) 669-6448 · Fax (305) 663-8485

Phone(510) 428-3885

Sole ProprietorNo

Enumeration DateJune 23, 2006

Last NPPES UpdateAugust 4, 2023

NPPES CertifiedAugust 4, 2023

✔ NPI 1972539963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in CA · G70600

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X · License 83628 (FL)

747 52ND ST, Oakland, CA 94609

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Secondary Practice Location 1

Location 13200 SW 60th Ct, Suite 105Miami, FL 33155-4000 · Phone (305) 669-6448 · Fax (305) 663-8485

Other Identifiers 1

Medicaid263295100FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Joseph Disandro M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

MRS. SHERYL LEE GARCIA RN

Registered Nurse (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

ERICA TRINGALE N.P,

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3373

MRS. NATALIE PLOTKIN MS, ACPNP

Pediatrics (Pediatric Hematology-Oncology)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3484

REBECCA ROMANOV MD

Pediatrics

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3331

SHELLEY ANNE BULL CPNP-PC

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

KARIDA ADETORO

Student in an Organized Health Care Education/Training Program

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

ANNIE ROQUE

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-4418

CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND

General Acute Care Hospital

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

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 Disandro's NPI number?

The NPI number for Michael Disandro is 1972539963. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Michael Disandro located?

Michael Disandro practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3885.

What is Michael Disandro's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Michael Disandro enrolled in Medicare?

Yes. Michael Disandro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Disandro was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.