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CONNIE OH MD
NPI 1023692100
Internal Medicine - Sports Medicine in Newport Beach, CA

Active since May 05, 2021PECOS EnrolledAccepts Medicare Assignment
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660(949) 722-7038 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 6, 2025, Jun 30, 2025, May 5, 2021 (3 updates tracked since 2021).

About Connie Oh Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE OH MD (NPI 1023692100) is an individual sports medicine provider in Newport Beach, California, licensed in California (A181638) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2021).

NPPES Registry Identity

NPI1023692100
Entity TypeIndividualFemale
Primary Taxonomy207RS0010X
Provider Legal NameCONNIE OHCredential: MD
Location Address22 CORPORATE PLAZA DRNewport Beach, CA 92660-7985
Mailing Address22 Corporate Plaza DrNewport Beach, CA 92660-7985
Phone(949) 722-7038
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2021
Enumeration DateMay 5, 2021
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1023692100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0010X
License✔ Licensed in CA · A181638
Definition
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
22 CORPORATE PLAZA DR, Newport Beach, CA 92660
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Connie Oh Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426599390
PECOS Enrollment IDI20250906000986
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Connie Oh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopedic Institute Of Newport Beach Limited Partnership
Same address
Orthopaedic Surgery
22 CORPORATE PLAZA DR
Newport Beach, CA 92660
  • Reassigned Medicare billing, California enrollment
  • 29 clinicians in this Medicare group
NPI 1164774600 (949) 722-7038

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDEE MONTERONE
Specialist/Technologist (Athletic Trainer)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP
Durable Medical Equipment & Medical Supplies
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
MRS. LINDSAY HALL BAUMHEFNER PA-C
Physician Assistant (Medical)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
MRS. CAMILLE LAUREN BRAY PA-C
Physician Assistant
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
MRS. WENDELYN DELGADO PA-C
Physician Assistant
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
DR. TAYLOR DUNPHY M.D.
Orthopaedic Surgery
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
ALAN HARRIS BEYER M.D.
Orthopaedic Surgery (Sports Medicine)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038
COREY MICHAEL LIEBER MD
Orthopaedic Surgery
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orange County (949) 722-7038

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Oh's NPI number?

The NPI number for Connie Oh is 1023692100. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Connie Oh located?

Connie Oh practices at 22 Corporate Plaza Dr, Newport Beach, CA 92660. The listed phone number is (949) 722-7038.

What is Connie Oh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Connie Oh enrolled in Medicare?

Yes. Connie Oh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Connie Oh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connie Oh reassigns Medicare benefits to Orthopedic Institute Of Newport Beach Limited Partnership (Newport Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Connie Oh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Connie Oh was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.