Kusum M Ohri, MD Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A44218 Issued in CA

Legal business name

KUSUM M OHRI, MD INC.

Practice address

1310 W. Stewart Dr.
Suite 602
Orange, CA 92868-3857

Phone

(714) 639-0414

Fax

(714) 639-3313

NPI assigned

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

Kusum M Ohri, MDNPI 1477692333

Title

President

Phone

(714) 639-0414

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kusum Mullick Ohri, M.D.

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1477692333
  Medicare reassignment Care Compare group NPD Authorized official
• Radha Ramesh

  • Internal Medicine Physician
  • Oakland, CA
  • NPI 1316392780
  Medicare reassignment Care Compare group NPD
• Melissa Johnston, PA-C

  • Physician Assistant
  • Orange, CA
  • NPI 1578264982
  Medicare reassignment Care Compare group
• Nicole Marie Hollek, PAC

  • Physician Assistant
  • Long Beach, CA
  • NPI 1881355907
  Medicare reassignment
• Katarzyna Marta Rathman, PA

  • Physician Assistant
  • Nampa, ID
  • NPI 1144707209

  CA

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1629037213",
    "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": "928683857",
            "telephone_number": "714-639-0414",
            "fax_number": "714-639-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSUM M OHRI, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "OHRI",
        "authorized_official_first_name": "KUSUM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-639-0414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A 44218",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A44218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ56075Y",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A442180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine S. Kurlawalla-Martinez, M.D.
• Joshua Stephen Kurtz
• John a Kusske, MD
• Meghan Kussman
• Kyle Ronald Kuster
• Hirofumi Kusumoto
• Fetty Kuswanto, PHARM.D
• Ashley Kwan
• David Anthony Kwan
• Kristi Kwan, DO

• Internal Medicine Physician in Orange, CA
• Providers in Orange, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.