Individual provider Active NPI

Baruch D Kuppermann, MD

  • Retina Specialist (Ophthalmology) Physician
  • Irvine, CA
National Provider Identifier
1326128455
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
G63254 Issued in CA
Practice address
850 Health Sciences Rd
Irvine, CA 92617-3058
Phone
(949) 824-2020
NPI assigned
Oct 16, 2006
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 000000G63254 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X G63254 CA Primary

Addresses

Primary practice location

850 Health Sciences Rd
Irvine, CA 92617-3058

Mailing address

Uci Ophthalmology Group
PO Box 51055
Los Angeles, CA 90051-5355
Phone (714) 456-6369

Other practice location 1

Uci Medical Center
101 The City Drive South
Orange, CA 92868
Phone (714) 456-8978

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
I20091111000697 CA Practitioner - Ophthalmology 9830237825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 9830094275, 52 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8068

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63254CAMDClinical Social Worker
000000G63254CAMDOphthalmology Physician
G63254CAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Ophthalmology CurrentSince Sep 7, 2009 Accepting new patients
Regents of the University of California Ophthalmology CurrentSince Jul 15, 1992 Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients
University of California Irvine Past Accepting new patients
Uci Ophthalmology Group Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

380 W Central Ave
Ste 400
Brea, CA 92821
Phone (714) 203-1799

850 Health Sciences Rd
Irvine, CA 92617
Phone (949) 824-0606

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Bldg 30A
Orange, CA 92868

Organizations & group practices 6

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 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1326128455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCI OPHTHALMOLOGY GROUP",
            "address_2": "PO BOX 51055",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900515355",
            "telephone_number": "714-456-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HEALTH SCIENCES RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926173058",
            "telephone_number": "949-824-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "UCI MEDICAL CENTER",
            "address_2": "101 THE CITY DRIVE SOUTH",
            "address_purpose": "LOCATION",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "country_code": "US",
            "telephone_number": "714-456-8978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUPPERMANN",
        "first_name": "BARUCH",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "000000G63254",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "G63254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.