Individual provider Active NPI

Aditi Ananth Correa, M.D.

  • Internal Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1801206065
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A139245 Issued in CA
Practice address
19582 Beach Blvd Ste 250
Huntington Beach, CA 92648-5977
Phone
(714) 477-8020
NPI assigned
Apr 28, 2014
Last updated
May 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A139245 CA Primary

Addresses

Primary practice location

19582 Beach Blvd Ste 250
Huntington Beach, CA 92648-5977

Mailing address

19582 Beach Blvd Ste 250
Huntington Beach, CA 92648-5977
Phone (714) 477-8020

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180516000625 CA Practitioner - Internal Medicine 9537423785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

361 Hospital Rd
Suite 221
Newport Beach, CA 92663-3512
Phone (949) 346-4016

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139245CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aditi Correa MD Inc Single Specialty CurrentSince Jun 23, 2024 Accepting new patients

Locations

2737 E Coast Hwy
Ste D
Corona del Mar, CA 92625

361 Hospital Rd
Ste 221
Newport Beach, CA 92663
Phone (949) 346-4016

Organizations & group practices 1

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 1

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1801206065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD STE 250",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485977",
            "telephone_number": "714-477-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD STE 250",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485977",
            "telephone_number": "714-477-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "ADITI",
        "middle_name": "ANANTH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A139245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.