Active NPI
Avinash Mesipam, M.D.
- Diagnostic Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A130509
- Practice address
- 1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110 - Phone
- (314) 362-7353
- NPI assigned
- May 31, 2013
- Last updated
- Feb 7, 2023
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A130509 | CA | Primary |
Addresses
Primary practice location
1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110
Mailing address
660 S Euclid Ave
Saint Louis, MO 63110-1010
Phone (314) 362-7353
Other practice location 1
400 W Pueblo St
Santa Barbara Cottage Hospital, Medical Education Offic
Santa Barbara, CA 93105-4353
Phone (805) 682-7111
Other practice location 2
400 W Pueblo St
Santa Barbara Cottage Hospital, Medical Education Offic
Santa Barbara, CA 93105-4353
Phone (805) 682-7111
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
- Diagnostic Radiology
- Education
- Loma Linda University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-3534
360 San Miguel Dr
Suite 105And106
Newport Beach, CA 92660-7853
Phone (949) 365-3534
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.45 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 84.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A130509 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Diagnostic Radiology | Current | Accepting new patients |
| Newport Harbor Radiology Associates Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Newport Center Radiology Associates Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000
25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
360 San Miguel Dr
Ste 105
Newport Beach, CA 92660
Phone (949) 365-3534
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
360 San Miguel Dr
Ste 1
Newport Beach, CA 92660
Phone (949) 365-3534
360 San Miguel Dr
Ste 105106
Newport Beach, CA 92660
Dept LA 21705
Pasadena, CA 91185
Dept LA 21555
Pasadena, CA 91185
Phone (949) 236-8620
Organizations & group practices 5
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.
-
dba Newport Imaging Center
- Diagnostic Radiology Physician
- Newport Beach, CA
- NPI 1013951714
-
- Diagnostic Radiology Physician
- Newport Beach, CA
- NPI 1053355792
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Pediatrics Physician
- San Bernardino, CA
- NPI 1124077516
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
Diagnostic Radiology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- Special Hospital
- Irvine, CA
- NPI 1982927877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1427495316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-362-7353",
"fax_number": "314-747-7114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BARNES JEWISH HOSPITAL PLZ",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63110",
"telephone_number": "314-362-7353"
}
],
"practiceLocations": [
{
"address_1": "400 W Pueblo St",
"address_2": "SANTA BARBARA COTTAGE HOSPITAL, MEDICAL EDUCATION OFFIC",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931054353",
"country_code": "US",
"telephone_number": "805-682-7111",
"fax_number": "805-569-8358",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W Pueblo St",
"address_2": "SANTA BARBARA COTTAGE HOSPITAL, MEDICAL EDUCATION OFFIC",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931054353",
"country_code": "US",
"telephone_number": "805-682-7111",
"fax_number": "805-569-8358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MESIPAM",
"first_name": "AVINASH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-31",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A130509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.