Active NPI
Om P Chaurasia, MD
- Gastroenterology Physician
- Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A50815
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A508150 | Other | CA | BLUE SHIELD PROVIDER |
| W14853 | Other | CA | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.33 of 100
- Quality
- 94.43
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 90.84
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 64 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 98 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A50815 | CA | MD | Gastroenterology Physician |
| 50815 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alicia Surgery Center LLC | Current | Accepting new patients | |
| Pacific Gastroenterology Endoscopy Center | Current | 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
- 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.
-
- Gastroenterology Physician
- Mission Viejo, CA
- NPI 1932232576
-
- Ambulatory Surgical Clinic/Center
- Laguna Hills, CA
- NPI 1518107937
-
- Ambulatory Surgical Clinic/Center
- Mission Viejo, CA
- NPI 1720129893
-
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
-
- Rehabilitation Hospital Unit
- Laguna Hills, CA
- NPI 1114967114
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.