DR. MICHAEL ANGEL JIMENEZ (M.D.) – Surgery Physician, NPI 1679766331

DR. MICHAEL ANGEL JIMENEZ (M.D.) is a healthcare provider. based in Fountain hill, Pennsylvania. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. MT189479 (PA). The NPI Number for DR. MICHAEL ANGEL JIMENEZ (M.D.) is 1679766331

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL ANGEL JIMENEZ (M.D.)
NPI
1679766331
Phone
(310) 435-4140
Address
1064 DELAWARE AVE APT 2
Enumeration Date
24 August 2007
Last Update Date
24 August 2007

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
9094699477
Graduation Year
2006 (20 years ago)
PAC ID
4183864556
Group Practice PAC ID
6204101850
Professional Enrollment ID
I20130708000367
Address ID
CA917672922PO160XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,999 GENERAL SURGERY in PA

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Provider Addresses for DR. MICHAEL ANGEL JIMENEZ (M.D.)

  • Delaware Avenue, Fountain Hill, Lehigh County, Pennsylvania, 18015, United States

    FOUNTAIN HILL, PA 180152509

    Phone: (310) 435-4140

    Type: Mailing

  • 1064, Delaware Avenue, Fountain Hill, Lehigh County, Pennsylvania, 18015, United States

    APT 2

    FOUNTAIN HILL, PA 180152509

    Phone: (310) 435-4140

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $227.

Total Amount is formed as General ($227) + Research ($0) + Ownership ($0) = $227.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Aroa Biosurgery Incorporated ($90).

Total Amount

$227

General + Research + Ownership

Payments

7

Total payment records

General Amount

$227

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-07-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130708000367IGeneral SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1915$0
99291Critical care, first 30-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 18015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204101850View full group profile
NameSpecialtyState
General SurgeryCA
General Surgery, Critical Care (Intensivists)NY
General SurgeryMA
General SurgeryMD
General Surgery, Critical Care (Intensivists)NJ
General Surgery, Critical Care (Intensivists)CA
General SurgeryCA

Reviews

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Frequently asked questions

How do payers reference DR. MICHAEL ANGEL JIMENEZ (M.D.)?
For DR. MICHAEL ANGEL JIMENEZ (M.D.), use NPI 1679766331 as the unique 10-digit identifier.
Is DR. MICHAEL ANGEL JIMENEZ (M.D.) still an active registrant?
DR. MICHAEL ANGEL JIMENEZ (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. MICHAEL ANGEL JIMENEZ (M.D.)?
At a glance, DR. MICHAEL ANGEL JIMENEZ (M.D.) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is DR. MICHAEL ANGEL JIMENEZ (M.D.) registered?
Use Fountain Hill, Pennsylvania as the headline location for DR. MICHAEL ANGEL JIMENEZ (M.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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