Individual provider Active NPI

Kristy Faye Fleming, M.D.

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1336371285
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A120835 Issued in CA
Practice address
180 Newport Center Dr
Suite 158
Newport Beach, CA 92660-6972
Phone
(949) 719-1800
Fax
(949) 719-1810
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X BP10034283 TX
Dermatology Physician 207N00000X A120835 CA Primary

Addresses

Primary practice location

180 Newport Center Dr
Suite 158
Newport Beach, CA 92660-6972

Mailing address

PO Box 6765
Orange, CA 92863-6765
Phone (714) 571-5000

Other names 1

  • Dr. Kristy Faye Hinchman Former name

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
I20120716000572 CA Practitioner - Dermatology 4284890427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Irvine, California College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23141 Moulton Pkwy
Suite 110
Laguna Hills, CA 92653-1241
Phone (949) 916-5956

Merit-based Incentive Payment System (MIPS)

Final score
78.29 of 100Reported as individual
Quality
66.53
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions1132
Removal of skin cancer116
Removal or shaving of skin growth342
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10034283TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fleming Inc Dermatology CurrentSince Jun 1, 2016 Accepting new patients
Daines Plastic Surgery Inc PastSince Jun 1, 2016 Accepting new patients

Locations

23141 Moulton Pkwy
Ste 110
Laguna Hills, CA 92653
Phone (949) 916-5956

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1336371285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6765",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928636765",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NEWPORT CENTER DR",
            "address_2": "SUITE 158",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606972",
            "telephone_number": "949-719-1800",
            "fax_number": "949-719-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "KRISTY",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "BP10034283",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A120835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "HINCHMAN",
            "middle_name": "FAYE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.