NPIMap

Individual provider Active NPI

Kurt Openshaw, M.D.

  • Diagnostic Radiology Physician
  • Orange, CA
National Provider Identifier
1881693174
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G63924 Issued in CA
Practice address
1140 W la Veta Ave
Ste. 850
Orange, CA 92868-4225
Phone
(714) 560-4450
Fax
(714) 560-4455
NPI assigned
Jul 19, 2005
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G63924 CA Primary
Vascular & Interventional Radiology Physician 2085R0204X G63924 CA

Addresses

Primary practice location

1140 W la Veta Ave
Ste. 850
Orange, CA 92868-4225

Mailing address

1140 W la Veta Ave Ste 850
Orange, CA 92868-4218
Phone (714) 560-4450

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
I20031119001016 CA Practitioner - Interventional Radiology 7012811359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of Southern California Keck School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1010 W la Veta Ave
Suite 320
Orange, CA 92868-4303
Phone (714) 560-4450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.81 of 100Reported as individual
Quality
88.62
Improvement activities
0
Cost
77.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular and Interventional Specialists of Orange County, Inc. Vascular & Interventional Radiology CurrentSince Dec 1, 2003 Accepting new patients
Allergy Partners of California, Inc. PastSince Jul 16, 2023 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Nephrology Specialists Medical Group, Inc. PastSince Jul 1, 1998 Accepting new patients
Moran Rowen and Dorsey Inc Diagnostic Radiology Past Accepting new patients
Children's Hospital of Orange County Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

1010 W La Veta Ave
Ste 320
Orange, CA 92868
Phone (714) 560-4450

1140 W La Veta Ave
Ste 850
Orange, CA 92868
Phone (714) 560-4450

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7431/brand/1/csg/1/fhir/r4
  • Direct secure messaging: visoc.kopenshaw@156346.advancedmd-direct.com

Organizations & group practices 7

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 2

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1881693174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 850",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684218",
            "telephone_number": "714-560-4450",
            "fax_number": "714-560-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "address_2": "STE. 850",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684225",
            "telephone_number": "714-560-4450",
            "fax_number": "714-560-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPENSHAW",
        "first_name": "KURT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G63924",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G63924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.