Michael Medvin, M.D.
NPI 1174572952 · Emergency Medicine Physician · Santa Rosa, CA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Medvin, M.D. is a Emergency Medicine Physician provider in Santa Rosa, CA (NPI 1174572952).
Provider details
- NPI number
- 1174572952
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G67405 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2013-02-25
Frequently asked questions
- What is Michael Medvin's NPI number?
- Michael Medvin's National Provider Identifier (NPI) is 1174572952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Medvin's specialty?
- Michael Medvin is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Medvin located?
- Michael Medvin's practice location on file with NPPES is 1287 Fulton Rd, Santa Rosa, CA 95401-4923.
- What is Michael Medvin's phone number?
- The practice phone number listed in the NPPES registry for Michael Medvin is (707) 888-5808.
- Does Michael Medvin accept Medicare?
- Michael Medvin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Medvin's NPI active?
- Yes — Michael Medvin's NPI (1174572952) is active in the NPPES registry as of the last update on 2013-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.