ORANGE COAST UROLOGY SURG MED GRP INC
NPI 1376693994
Urology in Newport Beach, CA

Q: What is Orange Coast Urology Surg Med Grp Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since January 12, 2007CLIA 05D0856504 · Microscopy

520 SUPERIOR AVE STE 240, NEWPORT BEACH, CA 92663(949) 646-1131 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Orange Coast Urology Surg Med Grp Inc NPPES

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

ORANGE COAST UROLOGY SURG MED GRP INC (NPI 1376693994), doing business as Orange Coast Urology, is a healthcare organization registered as an urology in Newport Beach, California and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through October 11, 2028 and lists Nicholas Holevas, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1376693994

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameORANGE COAST UROLOGY SURG MED GRP INC

Location Address520 SUPERIOR AVE STE 240Newport Beach, CA 92663-3642

Mailing Address520 Superior Ave Ste 240Newport Beach, CA 92663-3642 · (949) 646-1131 · Fax (949) 646-6782

Phone(949) 646-1131

Organization SubpartNo

Authorized OfficialNicholas HolevasOffice Manager · (949) 646-2319

Enumeration DateJanuary 12, 2007

Last NPPES UpdateAugust 27, 2025

NPPES CertifiedAugust 27, 2025

✔ NPI 1376693994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

520 SUPERIOR AVE STE 240, Newport Beach, CA 92663

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Other Names 1

Doing Business AsOrange Coast Urology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orange Coast Urology Surg Med Grp Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20050711000881Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Orange Coast Urology Surg Med Grp Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Richard Holevas, MD

Urology

NPI 1295807436

520 SUPERIOR AVE STE 240
Newport Beach, CA 92663

(949) 646-1131

✔ PECOS✔ Accepts MedicareSame address

Henry Tsai, M.D.

Pathology

NPI 1710913876

18322 MANITOBA LN
Huntington Beach, CA 92648

(714) 712-0843

✔ PECOS6.0 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0856504

Orange Coast Urology · Newport Beach, CA

Active · expires Oct 11, 2028

CLIA Number05D0856504

Laboratory TypePhysician Office

Certificate Effective DateOctober 12, 2026

Certificate Expiration DateOctober 11, 2028

Laboratory DirectorRichard E. Holevas MD

Laboratory Phone(714) 712-0843

Laboratory LocationOrange Coast Urology520 Superior Ave Ste 240, Newport Beach, CA 92663

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Orange Coast Urology Surg Med Grp Inc's NPI number?

The NPI number for Orange Coast Urology Surg Med Grp Inc is 1376693994. It was assigned to this organization in the NPPES registry on January 12, 2007. The provider is doing business as Orange Coast Urology.

Where is Orange Coast Urology Surg Med Grp Inc located?

Orange Coast Urology Surg Med Grp Inc is located at 520 Superior Ave Ste 240, Newport Beach, CA 92663. The listed phone number is (949) 646-1131.

What is Orange Coast Urology Surg Med Grp Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Orange Coast Urology Surg Med Grp Inc enrolled in Medicare?

Yes. Orange Coast Urology Surg Med Grp Inc is registered in the Medicare PECOS enrollment system.

When is Orange Coast Urology Surg Med Grp Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Orange Coast Urology Surg Med Grp Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Orange Coast Urology Surg Med Grp Inc, in Pathology and Urology. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Orange Coast Urology Surg Med Grp Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0856504) is associated with this NPI, valid through October 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Orange Coast Urology Surg Med Grp Inc was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.