Individual provider Active NPI

Michael Bahren Choi, M.D.

  • Ophthalmology Physician
  • Buena Park, CA
National Provider Identifier
1871912279
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A171653 Issued in CA
Practice address
6102 Beach Blvd
Buena Park, CA 90621-4211
Phone
(714) 868-7733
Fax
(213) 556-1753
NPI assigned
Apr 14, 2014
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0120X 292616 NY
Ophthalmology Physician 207W00000X A171653 CA Primary

Addresses

Primary practice location

6102 Beach Blvd
Buena Park, CA 90621-4211

Mailing address

6102 Beach Blvd
Buena Park, CA 90621-4211
Phone (847) 769-0567

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
I20210526002875 CA Practitioner - Ophthalmology 4789997859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6102 Beach Blvd
Buena Park, CA 90621-4211
Phone (847) 769-0567

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
94.82
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A171653CAMDOphthalmology Physician
292616NYMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael B Choi MD Inc Single Specialty CurrentSince Mar 8, 2021 Accepting new patients
Ny Comprehensive Medical Wellness P.C. Single Specialty CurrentSince Apr 15, 2019 Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Mercy Medical Center Past Accepting new patients

Locations

329 E 149th St
Fl 2
Bronx, NY 10451
Phone (718) 585-5500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mchoi35074@direct.acpny.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1871912279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214211",
            "telephone_number": "847-769-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214211",
            "telephone_number": "714-868-7733",
            "fax_number": "213-556-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "MICHAEL",
        "middle_name": "BAHREN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2021-12-03",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "NY",
            "license": "292616",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A171653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.