Individual provider Active NPI

Elizabeth Babu, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Port Hueneme, CA
National Provider Identifier
1073796009
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A117761 Issued in CA
Practice address
567 W Channel Islands Blvd
#159
Port Hueneme, CA 93041-2133
Phone
(516) 303-6931
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A117761 CA Primary

Addresses

Primary practice location

567 W Channel Islands Blvd
#159
Port Hueneme, CA 93041-2133

Mailing address

1910 Outlet Center Dr
#159
Oxnard, CA 93036-0677
Phone (805) 485-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111020000594 CA Practitioner - Critical Care (Intensivists) 7012189871 Reassigns benefits to 2 organizations
I20200723000455 TX Practitioner - Internal MedicinePractitioner - Infectious DiseasePractitioner - Critical Care (Intensivists) 7012189871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Critical Care Specialists, Inc.Group PAC ID 0941498190, 17 clinicians

Practice addresses (Care Compare)

1910 Outlet Ctr Dr
Oxnard, CA 93036-0677
Phone (805) 485-2400

Hospital & facility affiliations

  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117761CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care CurrentSince Apr 28, 2020 Accepting new patients
West Coast Critical Care Specialists, Inc. Critical Care Medicine CurrentSince Oct 1, 2011 Accepting new patients
Gila River Regional Behavioral Health Authority CurrentSince Apr 28, 2020 Accepting new patients

Locations

17487 S Healthcare Dr
Laveen, AZ 85339
Phone (520) 550-6000

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

4000 Calle Tecate
Ste 115
Camarillo, CA 93012
Phone (805) 485-2400

1910 Outlet Center Dr
#159
Oxnard, CA 93036

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

1910 Outlet Center Dr
Oxnard, CA 93036
Phone (805) 485-2400

Interoperability endpoints

  • Direct secure messaging: elizabeth.babu.p23@direct.wcp.nextgenshare.com

Organizations & group practices 5

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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1073796009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 OUTLET CENTER DR",
            "address_2": "#159",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360677",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 W CHANNEL ISLANDS BLVD",
            "address_2": "#159",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412133",
            "telephone_number": "516-303-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABU",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A117761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Hueneme, CA

Sources for this page

Verify at the official NPI Registry.