Active NPI
Michael Kermani, MD
- Ophthalmology Physician
- Newport Beach, CA
National Provider Identifier
1013010685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A75009
- Practice address
- 1441 Avocado Ave
501
Newport Beach, CA 92660-7721 - Phone
- (949) 836-1690
- Fax
- (949) 640-2090
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A75009 | CA | Primary |
Addresses
Primary practice location
1441 Avocado Ave
501
Newport Beach, CA 92660-7721
Mailing address
P O Box 10711
Newport Beach, CA 92658
Phone (949) 836-1690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A750090 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Pittsburgh School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1441 Avocado Ave
Suite 501
Newport Beach, CA 92660-7706
Phone (949) 640-2010
Merit-based Incentive Payment System (MIPS)
- Final score
- 30 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 77 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A75009 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Kermani, MD, Inc | Ophthalmology | Current | Accepting new patients |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients |
Locations
27001 La Paz Rd
Ste 401A
Mission Viejo, CA 92691
Phone (949) 380-9800
1441 Avocado Ave
Ste 501
Newport Beach, CA 92660
Phone (949) 640-2010
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Newport Beach, CA
- NPI 1104929777
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1013010685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 10711",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92658",
"telephone_number": "949-836-1690",
"fax_number": "949-640-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 AVOCADO AVE",
"address_2": "501",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607721",
"telephone_number": "949-836-1690",
"fax_number": "949-640-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERMANI",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A75009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A750090",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.