Active NPI
Alexandra Georgiana Ianculescu, M.D., PH.D.
- Hospitalist Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A123468
- Practice address
- 1 Hoag Dr
Newport Beach, CA 92663-4162 - Phone
- (949) 610-7245
- Fax
- (657) 241-7720
- NPI assigned
- Sep 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A123468 | CA | |
| Hospitalist Physician | 208M00000X | A123468 | CA | Primary |
Addresses
Primary practice location
1 Hoag Dr
Newport Beach, CA 92663-4162
Mailing address
PO Box 3589
Newport Beach, CA 92659-8589
Phone (657) 241-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649551276 | Medicaid | CA | |
| CB277683 | Other | CA | MEDICARE PTAN |
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
- Hospitalist
- Education
- University of California, San Francisco School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 Mercy Ave
Merced, CA 95340-8319
Phone (209) 564-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Improvement activities
- 40
- Cost
- 81.51
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.93 of 100
- Quality
- 53.8
- Improvement activities
- 0
- Cost
- 64.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A123468 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Hospitalist Associates a Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Pacific Hospitalist Associates a Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Merced Hospitalist Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000
333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Merced, CA
- NPI 1730431875
-
- Hospitalist Physician
- Newport Beach, CA
- NPI 1992750137
Internal Medicine
-
dba Pacific Hospitalist Associates
- Skilled Nursing Facility
- Newport Beach, CA
- NPI 1306248240
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Medical Center Merced
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507075200000",
"number": "1649551276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3589",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926598589",
"telephone_number": "657-241-3600",
"fax_number": "657-241-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOAG DR",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634162",
"telephone_number": "949-610-7245",
"fax_number": "657-241-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANCULESCU",
"first_name": "ALEXANDRA",
"middle_name": "GEORGIANA",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2017-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A123468",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A123468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649551276",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CB277683",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.