Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael T. Vercillo, MD

Individual provider Orthopaedic Surgery Physician · NPI 1376767723

Michael T. Vercillo, MD is an Orthopedic Surgery in Thousand Oaks, California. Graduated from Georgetown University School of Medicine in 2002, 24 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Arizona and California.

Years since qualifying
24
Trained at
Georgetown University School of Medicine
Licensed in
AZ, CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

375 Rolling Oaks Dr Ste 200
Thousand Oaks, CA 91361-1023
Phone: (805) 497-9481
Fax: (805) 497-3416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A85526 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 40629 (AZ)

Record details

NPI number1376767723
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2007
Last updated in NPPESMay 31, 2012
Mailing address375 Rolling Oaks Dr, Suite 200, Thousand Oaks, CA 91361-1023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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