Individual provider Active NPI

Nimish Raj Kadakia, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Irvine, CA
National Provider Identifier
1194787275
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A79590 Issued in CA
Practice address
22 Odyssey Ste 205
Irvine, CA 92618-3197
Phone
(949) 870-3332
Fax
(949) 900-2116
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A79590 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A79590 CA Primary

Addresses

Primary practice location

22 Odyssey Ste 205
Irvine, CA 92618-3197

Mailing address

24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116
Phone (949) 870-3332

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
I20041115000889 CA Practitioner - Orthopedic Surgery 0941264436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OrthowestGroup PAC ID 3072932623, 48 clinicians

Practice addresses (Care Compare)

22 Odyssey
Suite 205
Irvine, CA 92618-3197
Phone (949) 586-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
A79590CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthowest Orthopaedic Surgery CurrentSince Jul 1, 2020 Accepting new patients
Orthowest Orthopaedic Surgery CurrentSince Jul 1, 2020 Accepting new patients
South County Orthopedic Specialists CurrentSince Jun 1, 2015 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Caduceus Physicians Medical Group Orthopaedic Surgery PastSince Jan 15, 2016 Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Abbott Northwestern Hospital Past Accepting new patients
Orthowest Orthopaedic Surgery Past Accepting new patients
Integrative Psychotherapy and Assessment Services PastSince Jan 11, 2016 Accepting new patients
Fairview Health Services Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

18785 Brookhurst St
Ste 100
Fountain Valley, CA 92708
Phone (714) 500-5056

18785 Brookhurst St
Fountain Valley, CA 92708
Phone (714) 975-1719

22 Odyssey
Ste 205
Irvine, CA 92618
Phone (949) 870-3332

22 Odyssey
Ste 511
Irvine, CA 92618

24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637
Phone (949) 767-0800

3851 Katella Ave
Ste 150
Los Alamitos, CA 90720
Phone (562) 314-1400

3851 Katella Ave
#140
Los Alamitos, CA 90720

1041 E Yorba Linda Blvd
Ste 305
Placentia, CA 92870

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nimish.kadakia.1@17218.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1194787275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD STE 200",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373116",
            "telephone_number": "949-870-3332",
            "fax_number": "951-264-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 205",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183197",
            "telephone_number": "949-870-3332",
            "fax_number": "949-900-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADAKIA",
        "first_name": "NIMISH",
        "middle_name": "RAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A79590",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A79590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.