Individual provider Active NPI

Dipti Itchhaporia, MD

  • Cardiovascular Disease Physician
  • Newport Beach, CA
National Provider Identifier
1316990070
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G66492 Issued in CA
Practice address
520 Superior Ave
Suite 325
Newport Beach, CA 92663-3637
Phone
(949) 548-6634
Fax
(949) 548-1431
NPI assigned
May 17, 2006
Last updated
Jan 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G66492 CA Primary

Addresses

Primary practice location

520 Superior Ave
Suite 325
Newport Beach, CA 92663-3637

Mailing address

PO Box 3696
Newport Beach, CA 92659-8696
Phone (949) 548-6634

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
I20080116000725 CA Practitioner - Cardiovascular Disease (Cardiology) 6901987874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Saint Louis University School of Medicine, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Dipti Itchhaporia Medical CorporationGroup PAC ID 0446331318, 4 clinicians

Practice addresses (Care Compare)

520 Superior Ave
Suite 325
Newport Beach, CA 92663-3667
Phone (949) 548-6634

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.32 of 100Reported as group
Quality
98.54
Improvement activities
40
Cost
73.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66492CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dipti Itchhaporia Medical Corporation Cardiovascular Disease CurrentSince Jan 16, 2008 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

355 Placentia Ave
Ste 207B
Newport Beach, CA 92663
Phone (949) 548-6634

520 Superior Ave
Ste 325
Newport Beach, CA 92663
Phone (949) 548-6634

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1316990070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3696",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926598696",
            "telephone_number": "949-548-6634",
            "fax_number": "949-548-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "SUITE 325",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-548-6634",
            "fax_number": "949-548-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITCHHAPORIA",
        "first_name": "DIPTI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G66492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.