Individual provider Active NPI

Shahrooz Bemanian

  • Gastroenterology Physician
  • Irvine, CA
National Provider Identifier
1629123070
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A85501 Issued in CA
Practice address
113 Waterworks Way Ste 155
Irvine, CA 92618
Phone
(949) 612-9090
Fax
(949) 912-9091
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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 A85501 CA Primary

Addresses

Primary practice location

113 Waterworks Way Ste 155
Irvine, CA 92618

Mailing address

PO Box 53366
Irvine, CA 92619-3366
Phone (949) 612-9090

Other practice location 1

19582 Beach Blvd Ste 155
Huntington Beach, CA 92648-2996
Phone (949) 612-9090

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
I20050419000857 CA Practitioner - Internal Medicine 8224076435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Consultants of Orange County IncGroup PAC ID 7810057106, 14 clinicians

Practice addresses (Care Compare)

113 Waterworks Way
Suite 155
Irvine, CA 92618-3163
Phone (949) 612-9090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy255
Upper gastrointestinal (GI) endoscopy for acid reflux307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A85501CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Consultants of Orange County Inc Gastroenterology CurrentSince Jul 1, 2009 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

26672 Portola Pkwy
Ste 104
Foothill Ranch, CA 92610
Phone (949) 464-2778

19582 Beach Blvd
Ste 270
Huntington Beach, CA 92648
Phone (714) 232-8833

113 Waterworks Way
Ste 155
Irvine, CA 92618
Phone (949) 764-5538

15000 Kensington Park Dr
Ste 390
Tustin, CA 92782

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1629123070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53366",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926193366",
            "telephone_number": "949-612-9090",
            "fax_number": "949-612-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY STE 155",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-612-9090",
            "fax_number": "949-912-9091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19582 Beach Blvd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926482996",
            "country_code": "US",
            "telephone_number": "949-612-9090",
            "fax_number": "949-612-9091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEMANIAN",
        "first_name": "SHAHROOZ",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A85501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.