NPIMap

Individual provider Active NPI

Kusum Mullick Ohri, M.D.

  • Internal Medicine Physician
  • Orange, CA
National Provider Identifier
1477692333
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A44218 Issued in CA
Practice address
1310 W. Stewart Dr.
Suite 602
Orange, CA 92868-3854
Phone
(714) 639-0414
Fax
(714) 639-3313
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A44218 CA Primary

Addresses

Primary practice location

1310 W. Stewart Dr.
Suite 602
Orange, CA 92868-3854

Mailing address

1310 W. Stewart Dr.,
Suite 602
Orange, CA 92868-3857
Phone (714) 639-0414

Other identifiers 1

IdentifierTypeStateIssuer
WA44218IOtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071220000569 CA Practitioner - Internal Medicine 0446340939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kusum M Ohri, M.D. IncGroup PAC ID 4981794476, 3 clinicians

Practice addresses (Care Compare)

1310 W Stewart Dr
Suite 602
Orange, CA 92868-3857
Phone (714) 639-0414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.17 of 100Reported as individual
Quality
72.92
Improvement activities
40
Cost
83.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A44218CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kusum M Ohri, MD Inc. Internal Medicine CurrentSince Dec 1, 1999 Accepting new patients
Providence Medical Foundation Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

1310 W Stewart Dr
Ste 602
Orange, CA 92868
Phone (714) 602-9891

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kusumohri@kmomdi.allscriptsdirect.net

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.

Hospital & facility affiliations 4

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1477692333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W. STEWART DR.,",
            "address_2": "SUITE 602",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683857",
            "telephone_number": "714-639-0414",
            "fax_number": "714-639-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W. STEWART DR.",
            "address_2": "SUITE 602",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683854",
            "telephone_number": "714-639-0414",
            "fax_number": "714-639-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHRI",
        "first_name": "KUSUM",
        "middle_name": "MULLICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A44218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WA44218I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.