Individual provider Active NPI

Kris V Iyer, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Newport Beach, CA
National Provider Identifier
1366535684
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A40933 Issued in CA
Practice address
520 Superior Ave Ste 150
Newport Beach, CA 92663-3642
Phone
(949) 764-6204
Fax
(949) 642-7703
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A40933 CA Primary

Addresses

Primary practice location

520 Superior Ave Ste 150
Newport Beach, CA 92663-3642

Mailing address

520 Superior Ave Ste 150
Newport Beach, CA 92663-3642
Phone (949) 764-6204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Beach Endocrine Medical Group Inc Current Accepting new patients
Hoag Medical Group Inc. Endocrinology, Diabetes & Metabolism CurrentSince Oct 1, 2012 Accepting new patients
Kris V Iyer MD Inc Endocrinology, Diabetes & Metabolism CurrentSince Jul 15, 2003 Accepting new patients

Locations

520 Superior Ave
Ste 150
Newport Beach, CA 92663
Phone (949) 764-7366

520 Superior Ave
Ste 250
Newport Beach, CA 92663
Phone (949) 645-8855

Organizations & group practices 3

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1366535684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633642",
            "telephone_number": "949-764-6204",
            "fax_number": "949-642-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633642",
            "telephone_number": "949-764-6204",
            "fax_number": "949-642-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYER",
        "first_name": "KRIS",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A40933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.