DR. KRISTINE SUZANNE OLSON ARTHUR MD NPI 1003010950

Internal Medicine in Fountain Valley, CA

NPI 1003010950 Individual Female Years of Experience 18 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About KRISTINE ARTHUR

Kristine Arthur is an internal medicine provider established in Fountain Valley, California and her medical specialization is internal medicine with more than 18 years of experience. She graduated from Loma Linda University School Of Medicine in 2004. The NPI number of Kristine Arthur is 1003010950 and was assigned on June 2007. The practitioner's primary taxonomy code is 207R00000X with license number A95013 (CA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

An internist like Dr. Kristine Suzanne Olson Arthur Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Kristine Arthur is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kristine Arthur is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Memorialcare Saddleback Medical Center and Memorialcare Orange Coast Medical Center.

NPI

1003010950

Provider NameDR. KRISTINE SUZANNE OLSON ARTHUR MD
Provider Location Address11420 WARNER AVE FOUNTAIN VALLEY, CA 92708
Provider Mailing Address2742 DOW AVE TUSTIN, CA 92780
GenderFemale
NPI Entity TypeIndividual
Medical School NameLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-13-2007
Last Update Date03-30-2011


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.A95013
License StateCA
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. KRISTINE SUZANNE OLSON ARTHUR MD
11420 WARNER AVE
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 549-1300
Fax: (714) 433-3100

Get Directions


Mailing Address

DR. KRISTINE SUZANNE OLSON ARTHUR MD
2742 DOW AVE
TUSTIN, CA
ZIP 92780
Phone: (714) 665-1600



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8628169778
PECOS Enrollment IDI20070803000609
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 22Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 18Administration of influenza virus vaccine (HCPCS:G0008)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kristine Arthur is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MEMORIALCARE SADDLEBACK MEDICAL CENTER24451 HEALTH CENTER DRIVE
LAGUNA HILLS, CA 92653
(949) 837-4500Acute Care Hospitals50603
MEMORIALCARE ORANGE COAST MEDICAL CENTER9920 TALBERT AVENUE
FOUNTAIN VALLEY, CA 92708
(714) 378-7406Acute Care Hospitals50678

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
EN722ZMEDICARE PIN (08)CA
00A950130MEDICAID (05)CA
WA95013AMEDICARE PIN (08)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205826849DR. ARFA BABAKNIA MD
Individual
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 579-1300
1891785234DR. JULIE S FALLON MD
Individual
Pediatrics11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1518957794DR. DAVID M DUNCKEL MD
Individual
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1568453637DR. BRANDON B KHAW MD
Individual
Internal Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1619968799DR. ALTON P FORAN IV
Individual
Internal Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1598756090DR. JO LIEBERMAN PAN MD
Individual
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1376534628DR. LUCY E SUWARSA MD
Individual
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1407847619DR. TIMOTHY E MCDONALD MD
Individual
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1619958527DR. MICHAEL F OZAKI MD
Individual
Pediatrics11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1548242555MS. MICHELE COOPER NP
Individual
Nurse Practitioner11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1891777462MR. STEVEN LERNER PA
Individual
Physician Assistant11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1689621260BRISTOL PARK MEDICAL GROUP, INC
Organization
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1326072612DR. KELVIN MAI DO
Individual
Internal Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1841303260 GINA POSNER MD
Individual
Pediatrics11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1114253515 SUSAN JUNG PARK
Individual
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1194044271MISS CINDY H LEE RN, BSN, MSN, FNP
Individual
Nurse Practitioner (Family)11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1356423396DR. KIM ANH TRINH M.D.
Individual
Internal Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1891786851DR. EMILY S LEE MD
Individual
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1033175658 KIEN-AN DUONG MD
Individual
Internal Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 549-1300
1730593666DR. JULIE MALHOTRA BALAN M.D.
Individual
Family Medicine11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.