Individual provider Active NPI

Om P Chaurasia, MD

  • Gastroenterology Physician
  • Mission Viejo, CA
National Provider Identifier
1528136702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A50815 Issued in CA
Practice address
26421 Crown Valley Pkwy
Suite 140a
Mission Viejo, CA 92691-8564
Phone
(949) 365-8836
Fax
(949) 365-8837
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A50815 CA Primary

Addresses

Primary practice location

26421 Crown Valley Pkwy
Suite 140a
Mission Viejo, CA 92691-8564

Mailing address

26421 Crown Valley Pkwy
Suite 140a
Mission Viejo, CA 92691-8564
Phone (949) 365-8836

Other identifiers 2

IdentifierTypeStateIssuer
00A508150OtherCABLUE SHIELD PROVIDER
W14853OtherCAMEDICARE GROUP NUMBER

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
I20101221001197 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 0648328237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Om P. Chaurasia, MD, Inc.Group PAC ID 8123216884, 7 clinicians

Practice addresses (Care Compare)

26421 Crown Valley Pkwy
Suite 140a
Mission Viejo, CA 92691-8565
Phone (949) 365-8836

Hospital & facility affiliations

  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567

Merit-based Incentive Payment System (MIPS)

Final score
95.33 of 100Reported as individual
Quality
94.43
Promoting interoperability
99
Improvement activities
40
Cost
90.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Upper gastrointestinal (GI) endoscopy for acid reflux98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50815CAMDGastroenterology Physician
50815CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alicia Surgery Center LLC Current Accepting new patients
Pacific Gastroenterology Endoscopy Center CurrentSince Apr 1, 2003 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Locations

26421 Crown Valley Pkwy
Ste 140B
Mission Viejo, CA 92691
Phone (949) 356-8836

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528136702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26421 CROWN VALLEY PKWY",
            "address_2": "SUITE 140A",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918564",
            "telephone_number": "949-365-8836",
            "fax_number": "949-365-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26421 CROWN VALLEY PKWY",
            "address_2": "SUITE 140A",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918564",
            "telephone_number": "949-365-8836",
            "fax_number": "949-365-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAURASIA",
        "first_name": "OM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A50815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD  PROVIDER",
            "identifier": "00A508150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W14853",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.