Individual provider Active NPI

Anne Marie C McNeill, MD, PHD

  • MOHS-Micrographic Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1841365970
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A84330 Issued in CA
Practice address
1441 Avocado Ave
Suite 702
Newport Beach, CA 92660-7721
Phone
(949) 706-7886
Fax
(949) 706-0681
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A84330 CA
MOHS-Micrographic Surgery Physician 207ND0101X A84330 CA Primary

Addresses

Primary practice location

1441 Avocado Ave
Suite 702
Newport Beach, CA 92660-7721

Mailing address

1441 Avocado Ave
Suite 702
Newport Beach, CA 92660-7721

Other names 1

  • Miss Anne Marie C Freeman Former name

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
I20070314000264 CA Practitioner - Dermatology 4587767488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Irvine, California College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Marie McNeill, MD, PHD, IncGroup PAC ID 0749323749, 9 clinicians

Practice addresses (Care Compare)

1441 Avocado Ave
Suite 702
Newport Beach, CA 92660-7708
Phone (949) 706-7886

Merit-based Incentive Payment System (MIPS)

Final score
94.23 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions78
Removal of skin cancer1-10
Skin biopsy57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84330CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Marie McNeill, MD, PHD, Inc Dermatology CurrentSince Nov 1, 2009 Accepting new patients

Locations

1441 Avocado Ave
Ste 702
Newport Beach, CA 92660
Phone (949) 706-7886

27512 Calle Arroyo
San Juan Capistrano, CA 92675
Phone (424) 242-8608

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1841365970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE",
            "address_2": "SUITE 702",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE",
            "address_2": "SUITE 702",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607721",
            "telephone_number": "949-706-7886",
            "fax_number": "949-706-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "ANNE MARIE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A84330",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A84330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE MARIE",
            "last_name": "FREEMAN",
            "middle_name": "C",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.