Individual provider Active NPI

Edit Hegyi, M.D., PHD

  • Clinic/Center
  • San Diego, CA
National Provider Identifier
1396039301
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A89002 Issued in CA
Practice address
16769 Bernardo Center Dr
Suite K13
San Diego, CA 92128-2546
Phone
(760) 522-1360
NPI assigned
Jun 7, 2011
Last updated
Jul 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A89002 CA Primary

Addresses

Primary practice location

16769 Bernardo Center Dr
Suite K13
San Diego, CA 92128-2546

Mailing address

16769 Bernardo Center Dr
Suite K13
San Diego, CA 92128-2546
Phone (760) 522-1360

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
I20150309002683 CA Practitioner - General PracticePractitioner - Pathology 3375866296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pathology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16769 Bernardo Ctr Dr
Suite K13
San Diego, CA 92128-2546
Phone (760) 990-3523

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A89002CAMDClinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Silvergate Medical Corp. Clinic/Center CurrentSince Dec 6, 2012 Accepting new patients

Locations

16769 Bernardo Center Dr
Ste K13
San Diego, CA 92128
Phone (760) 522-1360

Interoperability endpoints

  • Direct secure messaging: edit.hegyi.1@12163.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12163/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1396039301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16769 BERNARDO CENTER DR",
            "address_2": "SUITE K13",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282546",
            "telephone_number": "760-522-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16769 BERNARDO CENTER DR",
            "address_2": "SUITE K13",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282546",
            "telephone_number": "760-522-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGYI",
        "first_name": "EDIT",
        "credential": "M.D., PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A89002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.