Individual provider Active NPI

Richard E Holevas, MD

  • Urology Physician
  • Newport Beach, CA
National Provider Identifier
1295807436
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G66489 Issued in CA
Practice address
520 Superior Ave Ste 240
Newport Beach, CA 92663-3642
Phone
(949) 646-1131
Fax
(949) 646-6782
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G66489 CA Primary

Addresses

Primary practice location

520 Superior Ave Ste 240
Newport Beach, CA 92663-3642

Mailing address

520 Superior Ave
Suite 240
Newport Beach, CA 92663-3637
Phone (949) 646-1131

Other identifiers 1

IdentifierTypeStateIssuer
00G66489MedicaidCA

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
I20110401000131 CA Practitioner - Urology 0345396826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

520 Superior Ave
Suite 240
Newport Beach, CA 92663-3642
Phone (949) 646-1131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G66489CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Coast Urology Surg Med GRP Inc Urology CurrentSince Aug 1, 1994 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

17742 Beach Blvd
Ste 200
Huntington Beach, CA 92647
Phone (714) 848-4155

520 Superior Ave
Ste 240
Newport Beach, CA 92663
Phone (949) 646-1131

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABADBA/Endpoint/ABADBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABADBA

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1295807436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "SUITE 240",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-646-1131",
            "fax_number": "949-646-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 240",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633642",
            "telephone_number": "949-646-1131",
            "fax_number": "949-646-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLEVAS",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G66489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G66489",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.