Active NPI
Michelle G Nowroozi, D.O.
- Hospitalist Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 20A12508
- Practice address
- 1 Hoag Dr
Newport Beach, CA 92663 - Phone
- (949) 610-7245
- Fax
- (657) 241-7720
- NPI assigned
- Feb 8, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A12508 | CA | |
| Hospitalist Physician | 208M00000X | 20A12508 | CA | Primary |
Addresses
Primary practice location
1 Hoag Dr
Newport Beach, CA 92663
Mailing address
1 Hoag Dr
Newport Beach, CA 92663-4162
Other practice location 1
2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 771-8177
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB272462 | Other | CA | MEDICARE PTAN |
| 1215209093 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MICHELLE.NOWROOZI@direct.stjoe.org |
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
- Hospitalist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (877) 742-4624
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A12508 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Hospitalist Associates a Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Pacific Hospitalist Associates a Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Quantum Healthcare Medical Associates Inc. | Internal Medicine | Current | Accepting new patients |
| Pacific Hospitalist Associates a Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
Interoperability endpoints
- michelle.nowroozi@direct.stjoe.org
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.
-
- Hospitalist Physician
- Newport Beach, CA
- NPI 1992750137
Internal Medicine
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Internal Medicine
-
- Skilled Nursing Facility
- Newport Beach, CA
- NPI 1306248240
Internal Medicine
-
- Hospitalist Physician
- Irvine, CA
- NPI 1912330432
Internal Medicine
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1215209093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOAG DR",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOAG DR",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92663",
"telephone_number": "949-610-7245",
"fax_number": "657-241-7720"
}
],
"practiceLocations": [
{
"address_1": "2501 E Chapman Ave",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928693204",
"country_code": "US",
"telephone_number": "714-771-8177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOWROOZI",
"first_name": "MICHELLE",
"middle_name": "G",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-08",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A12508",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "20A12508",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CB272462",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215209093",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MICHELLE.NOWROOZI@direct.stjoe.org",
"affiliation": "N",
"address_1": "1100 W Stewart Dr Ste 3205",
"city": "Orange",
"state": "CA",
"country_code": "US",
"postal_code": "928683849",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 26, 2020; 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.