Individual provider Active NPI

Ardalan Babaknia, MD

  • Gastroenterology Physician
  • Irvine, CA
National Provider Identifier
1366527491
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A44193 Issued in CA
Practice address
15775 Laguna Canyon Rd
Suite 240
Irvine, CA 92618-3145
Phone
(949) 753-8844
Fax
(949) 753-0181
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A44193 CA Primary

Addresses

Primary practice location

15775 Laguna Canyon Rd
Suite 240
Irvine, CA 92618-3145

Mailing address

15775 Laguna Canyon Rd
Suite 240
Irvine, CA 92618-3145
Phone (949) 753-8844

Other identifiers 2

IdentifierTypeStateIssuer
03682770OtherECFMG
A44193OtherCASTATE LICENSE

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
I20090921000085 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 2062478936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

Practice addresses (Care Compare)

15775 Laguna Canyon Rd
Suite 240
Irvine, CA 92618-3191
Phone (949) 753-8844

400 Newport Ctr Dr
Suite 609
Newport Beach, CA 92660-7695
Phone (949) 760-0398

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy63
Upper gastrointestinal (GI) endoscopy for acid reflux59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A44193CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Irvine Surgical Medical Group Corp CurrentSince Apr 2, 2003 Accepting new patients
United Medical Doctors Gastroenterology CurrentSince Dec 1, 2015 Accepting new patients
United Medical Doctors CurrentSince Dec 1, 2015 Accepting new patients
Ardalan Babaknia M D Professional Corporation Gastroenterology CurrentSince Jun 15, 2009 Accepting new patients

Locations

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

15775 Laguna Canyon Rd
Ste 240
Irvine, CA 92618
Phone (949) 753-8843

15825 Laguna Canyon Rd
Ste 100
Irvine, CA 92618
Phone (949) 679-6700

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366527491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD",
            "address_2": "SUITE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183145",
            "telephone_number": "949-753-8844",
            "fax_number": "949-753-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD",
            "address_2": "SUITE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183145",
            "telephone_number": "949-753-8844",
            "fax_number": "949-753-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAKNIA",
        "first_name": "ARDALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A44193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "03682770",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A44193",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.