NPIMap

Individual provider Active NPI

Martin Inho Bae, M.D

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1932149879
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A60400 Issued in CA
Practice address
361 Hospital Rd
322
Newport Beach, CA 92663-3522
Phone
(949) 574-0777
Fax
(949) 650-3505
NPI assigned
Jun 8, 2006
Last updated
Jan 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A60400 CA Primary

Addresses

Primary practice location

361 Hospital Rd
322
Newport Beach, CA 92663-3522

Mailing address

PO Box 3579
Newport Beach, CA 92659-8579
Phone (657) 241-3600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address martin.bae.p6@direct.nautilus.nextgenshare.com

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
I20100329000917 CA Practitioner - Internal Medicine 8729114798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Eastern Virginia Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Beach Medical AssociatesGroup PAC ID 5890878235, 6 clinicians

Practice addresses (Care Compare)

361 Hospital Rd
Suite 322
Newport Beach, CA 92663-3524
Phone (949) 574-0777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.28 of 100Reported as individual
Quality
77.46
Improvement activities
40
Cost
57.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Beach Medical Associates CurrentSince Feb 5, 1998 Accepting new patients

Locations

361 Hospital Rd
Ste 322
Newport Beach, CA 92663
Phone (949) 574-0777

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: martin.bae.p6@direct.nautilus.nextgenshare.com

Organizations & group practices 1

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 4

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1932149879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3579",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926598579",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD",
            "address_2": "322",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633522",
            "telephone_number": "949-574-0777",
            "fax_number": "949-650-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "MARTIN",
        "middle_name": "INHO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "martin.bae.p6@direct.nautilus.nextgenshare.com",
            "affiliation": "N",
            "address_1": "361 Hospital Rd",
            "address_2": "322",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926633522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.