Individual provider Active NPI

Ryan S Labovitch, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Newport Beach, CA
National Provider Identifier
1003914318
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A81975 Issued in CA
Practice address
1401 Avocado Ave
Suite 307
Newport Beach, CA 92660-7720
Phone
(949) 720-1944
Fax
(949) 720-9710
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A81975 CA Primary

Addresses

Primary practice location

1401 Avocado Ave
Suite 307
Newport Beach, CA 92660-7720

Mailing address

1401 Avocado Ave
Suite 307
Newport Beach, CA 92660-7720
Phone (949) 720-1944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828000549 CA Practitioner - Orthopedic Surgery 4880692482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Vermont College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smart Health and WellnessGroup PAC ID 0749642585, 9 clinicians

Practice addresses (Care Compare)

27372 Aliso Creek Rd
Suite 200
Aliso Viejo, CA 92656-5339
Phone (949) 520-1012

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A81975CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Health & Wellness Sports Medicine CurrentSince Jul 31, 2023 Accepting new patients
Smart Health & Wellness CurrentSince Feb 25, 2021 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Aspen Valley Hospital District Past Accepting new patients

Locations

27372 Aliso Creek Rd
Ste 200
Aliso Viejo, CA 92656
Phone (949) 520-1012

27372 Aliso Creek Rd
#200
Aliso Viejo, CA 92656
Phone (949) 520-1012

27372 Aliso Creek Rd
Ste 110
Aliso Viejo, CA 92656
Phone (949) 520-1014

Interoperability endpoints

  • Direct secure messaging: rlabovitch@kramerortho.mdlogic.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1003914318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE",
            "address_2": "SUITE 307",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607720",
            "telephone_number": "949-720-1944",
            "fax_number": "949-720-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE",
            "address_2": "SUITE 307",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607720",
            "telephone_number": "949-720-1944",
            "fax_number": "949-720-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOVITCH",
        "first_name": "RYAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A81975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.