Tara O'Connell, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A107639 Issued in CA

Practice address

4870 Barranca Pkwy
Ecu Dept
Irvine, CA 92604-4709

Phone

(949) 451-6006

Fax

(405) 751-3183

NPI assigned

May 8, 2008

Last updated

Sep 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Emergency Medicine

Education

University of Minnesota Medical School, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physicians of Orange CountyGroup PAC ID 9436692100, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

96.39

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Physicians of Orange County

  • Emergency Medicine Physician
  • Newport Beach, CA
  • NPI 1912771569
  Medicare reassignment Care Compare group NPD
• Newport Emergency Medical Group Inc

  • Medical Specialty Clinic/Center
  • Newport Beach, CA
  • NPI 1922061779
  Medicare reassignment
• Emergency Medicine Group of Encinitas, Inc

  dba Coastline Emergency Physician's Medical Group, Inc.

  • Emergency Medicine Physician
  • Encinitas, CA
  • NPI 1902805179
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1629245790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731720300",
            "telephone_number": "800-749-4560",
            "fax_number": "405-751-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 BARRANCA PKWY",
            "address_2": "ECU DEPT",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044709",
            "telephone_number": "949-451-6006",
            "fax_number": "405-751-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A107639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629245790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• O.C. Chiropractic
• O.C. in Home Care, Inc.
• Allison O'Brien
• James D O'Brien, MD
• Matthew O'Bymachow
• Alexis O'Connor
• Cara Kathleen O'Mahony
• Nicholas Martin O'Neal, A.T.C
• O'Neill Counseling
• O'Neill Counseling

• Emergency Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.

Verify at the official NPI Registry.