Individual provider Active NPI

Andrew Germanovich, D.O., M.S.

  • Interventional Pain Medicine Physician
  • Orange, CA
National Provider Identifier
1043479835
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
20A12144 Issued in CA
Practice address
1120 W. la Veta Avenue
Suite 300
Orange, CA 92868-4246
Phone
(657) 210-4096
Fax
(657) 210-4233
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 20A12144 CA
Interventional Pain Medicine Physician 208VP0014X 20A12144 CA Primary

Addresses

Primary practice location

1120 W. la Veta Avenue
Suite 300
Orange, CA 92868-4246

Mailing address

1120 W. la Veta Avenue
Suite 300
Orange, CA 92868-4246
Phone (657) 210-4096

Other identifiers 1

IdentifierTypeStateIssuer
114231OtherCAMEDICARE PTAN

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
I20131105000607 CA Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Interventional Pain Management 2062647712 Reassigns benefits to 1 organization
Practice locations: Laquinta, CA; Newport Beach, CA; Rancho Mirage, CA; Yorba Linda, CA

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Sports Specialities Medical GroupGroup PAC ID 6507177367, 15 clinicians

Practice addresses (Care Compare)

1120 W la Veta Ave
Suite 300
Orange, CA 92868-4246
Phone (714) 598-1745

Hospital & facility affiliations

  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
82.98 of 100Reported as individual
Quality
79.68
Promoting interoperability
98
Improvement activities
40
Cost
65.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

State licenses

LicenseStateTypeSpecialty
20A12144CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Sports Specialities Medical Group Pain Medicine CurrentSince Jun 1, 2015 Accepting new patients

Locations

1120 W La Veta Ave
Ste 300
Orange, CA 92868
Phone (657) 210-4096

Interoperability endpoints

  • Direct secure messaging: andrew.germanovich@sass.eclinicaldirectplus.com

Organizations & group practices 1

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 3

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1043479835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W. LA VETA AVENUE",
            "address_2": "SUITE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684246",
            "telephone_number": "657-210-4096",
            "fax_number": "657-210-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W. LA VETA AVENUE",
            "address_2": "SUITE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684246",
            "telephone_number": "657-210-4096",
            "fax_number": "657-210-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMANOVICH",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A12144",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "20A12144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "114231",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.