Thomas G Benvenuti, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G52876 Issued in CA

Practice address

520 Superior Avenue
Suite 330
Newport Beach, CA 92663

Phone

(949) 478-7373

Fax

(949) 650-2898

NPI assigned

Jul 9, 2006

Last updated

Aug 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Cardiovascular Disease (Cardiology)

Education

University of California, Geffen School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Cardiology IncGroup PAC ID 0143365536, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
• Usc Kenneth Norris Jr Cancer Hospital Hospital, Los Angeles, CA, CCN 050660

Merit-based Incentive Payment System (MIPS)

Final score

30.13 of 100Reported as individual

Quality

24.68

Improvement activities

0

Cost

67.53

Procedures performed for Medicare patients

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.

• Premier Cardiology Inc.

  • Cardiovascular Disease Physician
  • Newport Beach, CA
  • NPI 1528202363
  Medicare reassignment Care Compare group NPD
• Newport Cardiovascular Associates

  • Cardiovascular Disease Physician
  • Newport Beach, CA
  • NPI 1326071697
  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
• Keck Medical Center of Usc

  dba USC Kenneth Norris Jr. Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1417554528
  Care Compare affiliation

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1699708966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "SUITE 330",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-478-7373",
            "fax_number": "949-650-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVENUE",
            "address_2": "SUITE 330",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-478-7373",
            "fax_number": "949-650-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENVENUTI",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G52876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G52876",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Bennett
• Teri Benson, M.S.W.
• Neilen Benvegnu, MD
• Darel J Benvenuti, MD
• David Benvenuti, MD
• Amanda Rose Benvenuto, MSN PMHNP-BC
• Victor Raphael Beretta, MD
• Helen Bergenfeld, M.F.T.
• Keara Loraine Bergin
• Berkus Psychiatric Consulting,Apc

• Cardiovascular Disease Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.