Individual provider Active NPI

Nadeem Nurmohamed Vaidya, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Irvine, CA
National Provider Identifier
1578616520
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A117865 Issued in CA
Practice address
16100 Sand Canyon Ave Ste 385
Irvine, CA 92618-3720
Phone
(949) 732-0201
Fax
(888) 421-7757
NPI assigned
Jan 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X A117865 CA Primary
Ophthalmology Physician 207W00000X A117865 CA

Addresses

Primary practice location

16100 Sand Canyon Ave Ste 385
Irvine, CA 92618-3720

Mailing address

16100 Sand Canyon Ave Ste 385
Irvine, CA 92618-3720
Phone (949) 732-0201

Other identifiers 2

IdentifierTypeStateIssuer
8681340MedicaidCA
XXH960262662OtherBCBS INDIVIDUAL NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nadeemvaidya@retinaorangecounty.drchronodirect.com Direct

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
I20121008000042 CA Practitioner - Ophthalmology 9537253539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16100 Sand Canyon Ave
Suite 385
Irvine, CA 92618-3720
Phone (949) 732-0201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as individual
Quality
79.44
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
117865CAMDClinical Social Worker
A117865CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aristamd CurrentSince Apr 1, 2021 Accepting new patients
Retina Orange County, Inc. Ophthalmology CurrentSince Aug 22, 2012 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Amboy Medical Practice PC Ophthalmology PastSince Sep 1, 2024 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Joslin Clinic Inc Past Accepting new patients
Amboy Medical Practice PC Past Accepting new patients

Locations

16100 Sand Canyon Ave
Ste 385
Irvine, CA 92618
Phone (949) 502-3333

4755 Nexus Center Dr
San Diego, CA 92121
Phone (858) 750-4777

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nadeemvaidya@retinaorangecounty.drchronodirect.com

Organizations & group practices 7

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 1

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": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1578616520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 385",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183720",
            "telephone_number": "949-732-0201",
            "fax_number": "888-421-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 385",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183720",
            "telephone_number": "949-732-0201",
            "fax_number": "888-421-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "NADEEM",
        "middle_name": "NURMOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A117865",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A117865",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8681340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NUMBER",
            "identifier": "XXH960262662",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nadeemvaidya@retinaorangecounty.drchronodirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16100 Sand Canyon Ave Ste 385",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926183720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.