Individual provider Active NPI

Darel J Benvenuti, MD

  • Cardiovascular Disease Physician
  • Newport Beach, CA
National Provider Identifier
1912915364
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G39572 Issued in CA
Practice address
355 Placentia Ave
Suite 100
Newport Beach, CA 92663-3311
Phone
(949) 650-4322
Fax
(949) 650-2898
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G39572 CA Primary

Addresses

Primary practice location

355 Placentia Ave
Suite 100
Newport Beach, CA 92663-3311

Mailing address

520 Superior Avenue
Suite 330
Newport Beach, CA 92663-3637
Phone (949) 478-7373

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
I20100310000646 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7214072602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Cardiology IncGroup PAC ID 0143365536, 7 clinicians

Practice addresses (Care Compare)

401 Old Newport Blvd
Suite 201
Newport Beach, CA 92663-4289
Phone (949) 478-7373

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
31.37 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
84.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Cardiology Inc. Cardiovascular Disease CurrentSince Jan 1, 2010 Accepting new patients
Newport Cardiovascular Associates Cardiovascular Disease Past Accepting new patients

Locations

401 Old Newport Blvd
Ste 201
Newport Beach, CA 92663
Phone (949) 478-7373

520 Superior Ave
Ste 330
Newport Beach, CA 92663
Phone (949) 478-7373

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1912915364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVENUE",
            "address_2": "SUITE 330",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-478-7373",
            "fax_number": "949-650-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633311",
            "telephone_number": "949-650-4322",
            "fax_number": "949-650-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENVENUTI",
        "first_name": "DAREL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G39572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.