Active NPI
Nicolle Underwood, MD
- Obstetrics & Gynecology Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 145047
- Practice address
- 500 Superior Avenue
Suite 310
Newport Beach, CA 92663-3609 - Phone
- (949) 644-2722
- Fax
- (949) 760-5438
- NPI assigned
- Jun 14, 2009
- Last updated
- Jan 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 145047 | CA | Primary |
| Obstetrics Physician | 207VX0000X | 269054 | NY |
Addresses
Primary practice location
500 Superior Avenue
Suite 310
Newport Beach, CA 92663-3609
Mailing address
500 Superior Avenue
Suite 310
Newport Beach, CA 92663-3609
Phone (949) 644-2722
Other names 1
- Dr. Nicolle Gorby
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533
4870 Barranca Pkwy
Suite 200
Irvine, CA 92604-4786
Phone (949) 559-4870
500 Superior Ave
Suite 210
Newport Beach, CA 92663-3662
Phone (949) 644-2722
500 Superior Ave
Suite 310
Newport Beach, CA 92663-3609
Phone (949) 644-2722
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
- Memorialcare Saddleback Medical Center
- Memorialcare Orange Coast Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 84.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269054 | NY | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Clinic | Current | Accepting new patients | |
| St Lukes Roosevelt Hospital Center | Past | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Hoag Hospital | Past | Accepting new patients |
Locations
4870 Barranca Pkwy
Ste 200
Irvine, CA 92604
Phone (949) 559-4870
500 Superior Ave
Ste 310
Newport Beach, CA 92663
Phone (949) 644-2722
1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533
Interoperability endpoints
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1881821122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SUPERIOR AVENUE",
"address_2": "SUITE 310",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633609",
"telephone_number": "949-644-2722",
"fax_number": "949-760-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SUPERIOR AVENUE",
"address_2": "SUITE 310",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633609",
"telephone_number": "949-644-2722",
"fax_number": "949-760-5438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "NICOLLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-14",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "145047",
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NY",
"license": "269054",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLLE",
"last_name": "GORBY",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.