Active NPI
Edward George Rohaly, M.D,.
- Dermatology Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G62009
- Practice address
- 360 San Miguel Dr Ste 309
Newport Beach, CA 92660-7829 - Phone
- (949) 640-0434
- Fax
- (949) 640-0277
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G62009 | CA | Primary |
Addresses
Primary practice location
360 San Miguel Dr Ste 309
Newport Beach, CA 92660-7829
Mailing address
360 San Miguel Dr Ste 309
Newport Beach, CA 92660-7829
Phone (949) 640-0434
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
- Dermatology
- Education
- Temple University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
360 San Miguel Dr
Suite 309
Newport Beach, CA 92660-7829
Phone (949) 640-0434
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.34 of 100
- Quality
- 90.85
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 71.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 176 |
| Removal of tissue | 18 |
| Removal of skin lesions | 2305 |
| Removal of skin cancer | 477 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 15 |
| Skin biopsy | 861 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G62009 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Csi Medical Group | Dermatology | Current | Accepting new patients |
| David B. Friedman, MD, Inc | Dermatology | Current | Accepting new patients |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients |
Locations
1165 N Euclid St
Anaheim, CA 92801
Phone (714) 991-9990
11100 Warner Ave
Ste 264
Fountain Vly, CA 92708
Phone (714) 549-1770
360 San Miguel Dr
Ste 309
Newport Beach, CA 92660
Phone (949) 640-0434
1441 Avocado Ave
Ste 409
Newport Beach, CA 92660
Phone (949) 640-4501
4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- drrohaly@csisouthca.emadirect.md
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 and National Provider Directory roles.
-
- Procedural Dermatology Physician
- Anaheim, CA
- NPI 1164620795
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1669522819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR STE 309",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607829",
"telephone_number": "949-640-0434",
"fax_number": "949-640-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR STE 309",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607829",
"telephone_number": "949-640-0434",
"fax_number": "949-640-0277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHALY",
"first_name": "EDWARD",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D,.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G62009",
"primary": true
}
],
"identifiers": [],
"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 Jan 19, 2023; 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.