NPIMap

Individual provider Active NPI

Brian C. Kolski, MD

  • Interventional Cardiology Physician
  • Orange, CA
National Provider Identifier
1851449896
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A93984 Issued in CA
Practice address
1140 W la Veta Ave Ste 640
Orange, CA 92868-4228
Phone
(714) 564-3300
Fax
(949) 231-5108
NPI assigned
Jan 8, 2007
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A93984 CA Primary

Addresses

Primary practice location

1140 W la Veta Ave Ste 640
Orange, CA 92868-4228

Mailing address

1140 W la Veta Ave Ste 640
Orange, CA 92868-4228
Phone (714) 564-3300

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
I20080103000658 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6002996055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Loyola University of Chicago, Stritch School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1140 W la Veta Ave
Suite 640
Orange, CA 92868-4228
Phone 71456433001157

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as individual
Quality
73.46
Promoting interoperability
98
Improvement activities
40
Cost
56.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93984CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Heart Institute and Research Center a Medical Group CurrentSince Oct 1, 2014 Accepting new patients
Tyson C. Cobb, M.D., Inc CurrentSince Oct 1, 2014 Accepting new patients
Jeffrey M. Shapiro, MD, Inc Internal Medicine Past Accepting new patients
Scripps Health Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
North County Inpatient Medical Alliance, a Medical Group, Inc Past Accepting new patients

Locations

4501 Birch St
Newport Beach, CA 92660
Phone (949) 221-0136

1140 W La Veta Ave
Orange, CA 92868
Phone (714) 744-8724

1140 W La Veta Ave
Ste 615
Orange, CA 92868
Phone (714) 543-8555

1140 W La Veta Ave
Ste 640
Orange, CA 92868
Phone (714) 543-6054

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 5

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1851449896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 640",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684228",
            "telephone_number": "714-564-3300",
            "fax_number": "714-546-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 640",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684228",
            "telephone_number": "714-564-3300",
            "fax_number": "949-231-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLSKI",
        "first_name": "BRIAN",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A93984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.