Active NPI
Michael M Radin, M.D.
- Cardiovascular Disease Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G56739
- Practice address
- 1501 Superior Ave
Suite 312
Newport Beach, CA 92663-3600 - Phone
- (949) 722-7555
- Fax
- (949) 515-3937
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G56739 | CA | Primary |
Addresses
Primary practice location
1501 Superior Ave
Suite 312
Newport Beach, CA 92663-3600
Mailing address
1501 Superior Ave
Suite 312
Newport Beach, CA 92663-3600
Phone (949) 722-7555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060050289 | Other | RAILROAD MEDICARE | |
| 00G567390 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Boston University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1501 Superior Ave
Suite 312
Newport Beach, CA 92663-3641
Phone (949) 722-7555
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.37 of 100
- Quality
- 30.41
- Improvement activities
- 40
- Cost
- 70.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56739 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radin Cardiovascular Medical Group Inc | Cardiovascular Disease | Current | Accepting new patients |
| Modern Nuclear, Inc. | Past | Accepting new patients |
Locations
1501 Superior Ave
Ste 312
Newport Beach, CA 92663
Phone (949) 722-7555
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
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.
-
- Cardiovascular Disease Physician
- Newport Beach, CA
- NPI 1598021248
-
- Nuclear Medicine Technology Radiologic Technologist
- La Habra, CA
- NPI 1063851335
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1407812449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE",
"address_2": "SUITE 312",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633600",
"telephone_number": "949-722-7555",
"fax_number": "949-515-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE",
"address_2": "SUITE 312",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633600",
"telephone_number": "949-722-7555",
"fax_number": "949-515-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADIN",
"first_name": "MICHAEL",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G56739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060050289",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G567390",
"state": "CA"
}
],
"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 May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.