NPIMap

Individual provider Active NPI

Ratnaja Katneni, MD

  • Nephrology Physician
  • Newport Beach, CA
National Provider Identifier
1790887610
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
C134129 Issued in CA
Practice address
20241 SW Birch St Ste 104
Newport Beach, CA 92660-1784
Phone
(949) 490-4044
Fax
(657) 218-4161
NPI assigned
Sep 1, 2006
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X C134129 CA Primary

Addresses

Primary practice location

20241 SW Birch St Ste 104
Newport Beach, CA 92660-1784

Mailing address

PO Box 1584
Newport Beach, CA 92659-0584
Phone (657) 218-4082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150727000644 CA Practitioner - NephrologyPractitioner - Internal Medicine 1456415033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20241 SW Birch St
Suite 104
Newport Beach, CA 92660-1784
Phone (949) 490-4044

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.65 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C134129CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ratnaja Katneni MD Inc Nephrology CurrentSince May 1, 2015 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Jitendra P Katneni MD PC PastSince Aug 15, 2008 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

20072 SW Birch St
Ste 210
Newport Beach, CA 92660
Phone (949) 251-1502

20241 SW Birch St
Ste 104
Newport Beach, CA 92660
Phone (657) 218-4082

801 N Tustin Ave
Ste 202
Santa Ana, CA 92705
Phone (714) 480-0208

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1790887610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1584",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926590584",
            "telephone_number": "657-218-4082",
            "fax_number": "657-218-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20241 SW BIRCH ST STE 104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601784",
            "telephone_number": "949-490-4044",
            "fax_number": "657-218-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATNENI",
        "first_name": "RATNAJA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "C134129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.