Active NPI
Neilen Benvegnu, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- A158103
- Practice address
- 441 Old Newport Blvd
Newport Beach, CA 92663-4210 - Phone
- (949) 491-9991
- NPI assigned
- Mar 17, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A158103 | CA | Primary |
Addresses
Primary practice location
441 Old Newport Blvd
Newport Beach, CA 92663-4210
Mailing address
441 Old Newport Blvd
Newport Beach, CA 92663-4210
Phone (714) 309-9270
Other practice location 1
1051 S Matthew Way
Anaheim, CA 92808-1459
Phone (714) 309-9270
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
- Orthopedic Surgery
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13855 E 14TH St
San Leandro, CA 94578-2611
Phone (510) 357-6500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A158103 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Care Medical Group Inc | Current | Accepting new patients | |
| Alameda Health System | Single Specialty | Current | Accepting new patients |
| Alameda Health System | Single Specialty | Current | Accepting new patients |
| Newport Care Medical Group, Inc | Single Specialty | Current | Accepting new patients |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients |
Locations
2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700
815 Atlantic Ave
Ste 100
Alameda, CA 94501
Phone (510) 522-6637
3711 Long Beach Blvd
Ste 101
Long Beach, CA 90807
Phone (310) 963-9727
3490 Linden Ave
Ste 2
Long Beach, CA 90807
Phone (888) 368-1850
1711 W Temple St
Ste 4675
Los Angeles, CA 90026
Phone (213) 483-6563
441 Old Newport Blvd
Newport Beach, CA 92663
Phone (714) 309-9270
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
2617 E Chapman Ave
Ste 110
Orange, CA 92869
Phone (714) 633-0011
1041 E Yorba Linda Blvd
Ste 306
Placentia, CA 92870
Phone (714) 577-9500
4354 Latham St
Ste 100
Riverside, CA 92501
Phone (909) 787-1101
3560 Arlington Ave
Riverside, CA 92506
Phone (909) 680-1200
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
1386 W 7th St
Ste 306
San Pedro, CA 90732
28780 Single Oak Dr
Ste 270
Temecula, CA 92590
Phone (951) 600-1795
Interoperability endpoints
- nbenvegnu131411@alamedahs.direct-ci.com
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Newport Beach, CA
- NPI 1528401783
Single Specialty
-
dba Alameda Hospital Physicians - A Community Clinic
- Clinic/Center
- Alameda, CA
- NPI 1124446158
-
dba Newark Health Center
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Los Alamitos, CA
- NPI 1922852490
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1073054490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 OLD NEWPORT BLVD",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634210",
"telephone_number": "714-309-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 OLD NEWPORT BLVD",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634210",
"telephone_number": "949-491-9991"
}
],
"practiceLocations": [
{
"address_1": "1051 S Matthew Way",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928081459",
"country_code": "US",
"telephone_number": "714-309-9270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENVEGNU",
"first_name": "NEILEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-17",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "A158103",
"primary": true
}
],
"identifiers": [],
"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 Mar 8, 2023; 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.