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NEWPORT BEACH SURGICAL AND MEDICAL GROUP INC
NPI 1477953511
Otolaryngology in Newport Beach, CA

Active since August 26, 2014
180 NEWPORT CENTER DR, SUITE 158, NEWPORT BEACH, CA 92660(949) 719-1800(949) 719-1810 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Newport Beach Surgical And Medical Group Inc NPPES

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

NEWPORT BEACH SURGICAL AND MEDICAL GROUP INC (NPI 1477953511) is a healthcare organization registered as an otolaryngology in Newport Beach, California and active in the NPI registry since August 2014. The organization lists Simon J. Madorsky, President, as its authorized official.

NPPES Registry Identity

NPI1477953511
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameNEWPORT BEACH SURGICAL AND MEDICAL GROUP INC
Location Address180 NEWPORT CENTER DR, SUITE 158Newport Beach, CA 92660-6972
Mailing AddressPo Box 6765Orange, CA 92863-6765 · (714) 571-5000 · Fax (714) 571-5055
Phone(949) 719-1800
Fax(949) 719-1810
Organization SubpartNo
Authorized OfficialSimon J. MadorskyPresident · (949) 719-1800
Enumeration DateAugust 26, 2014
Last NPPES UpdateDecember 4, 2014
✔ NPI 1477953511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X
180 NEWPORT CENTER DR, Newport Beach, CA 92660
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Other Identifiers 1

Medicare PINCB221699CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Newport Beach Surgical And Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Newport Beach Surgical And Medical Group Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Dermatology6
Clinical Social Worker1
Ophthalmology1
Otolaryngology1
Plastic and Reconstructive Surgery1

Clinicians, nearest first (10)

Simon Madorsky, M.D.
Otolaryngology
NPI 1447259981
180 NEWPORT CENTER DR 158
Newport Beach, CA 92660
(949) 719-1800
✔ PECOS✔ Accepts Medicare0.2 mi
Leilah Madorsky, LCSW
Clinical Social Worker
NPI 1598911489
1001 DOVE ST # 791-7138
Newport Beach, CA 92660
(949) 791-7138
✔ PECOS3.3 mi
Jane Kim, M.D.
Ophthalmology
NPI 1578926572
18582 MAIN ST
Huntington Beach, CA 92648
(714) 965-9696
✔ PECOS✔ Accepts Medicare8.5 mi
Jonathan Baron, MD
Dermatology
NPI 1982686333
1125 E 17TH ST STE W248
Santa Ana, CA 92701
(714) 547-5151
✔ PECOS✔ Accepts Medicare10 mi
Mahsa Abdollahi, MD
Dermatology
NPI 1043445554
25200 LA PAZ RD STE 210
Laguna Hills, CA 92653
(949) 464-5770
✔ PECOS✔ Accepts Medicare12 mi
Alexander Miller, M.D.
Dermatology
NPI 1437157179
17451 BASTANCHURY RD. SUITE 103A
Yorba Linda, CA 92886
(714) 961-0143
✔ PECOS✔ Accepts Medicare20 mi
Merrick Brodsky, MD
Dermatology
NPI 1609300649
3828 SCHAUFELE AVE STE 300
Long Beach, CA 90808
(562) 997-1144
✔ PECOS✔ Accepts Medicare22 mi
Suzanne Quardt, M.D.
Plastic and Reconstructive Surgery
NPI 1952319683
7601 IMPERIAL HWY
Downey, CA 90242
(310) 306-7343
✔ PECOS✔ Accepts Medicare27 mi
Adam Aronson, M.D.
Dermatology
NPI 1629465778
4836 VAN NUYS BLVD
Sherman Oaks, CA 91403
(818) 907-7546
✔ PECOS✔ Accepts Medicare50 mi
Jason Stevens
Dermatology
NPI 1568921468
630 S RANCHO DR STE E
Las Vegas, NV 89106
(702) 258-1001
✔ PECOS✔ Accepts Medicare233 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 of Compliance 05D1103389

Newport Beach Surgical And Medical Group, Inc · Newport Beach, CA
Expired · Sep 30, 2026
CLIA Number05D1103389
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorSimon J. Madorsky MD
Laboratory Phone(949) 719-1800
Laboratory LocationNewport Beach Surgical And Medical Group, Inc180 Newport Center Dr Ste 158, Newport Beach, CA 92660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Newport Beach Surgical And Medical Group Inc's NPI number?

The NPI number for Newport Beach Surgical And Medical Group Inc is 1477953511. It was assigned to this organization in the NPPES registry on August 26, 2014.

Where is Newport Beach Surgical And Medical Group Inc located?

Newport Beach Surgical And Medical Group Inc is located at 180 Newport Center Dr Suite 158, Newport Beach, CA 92660. The listed phone number is (949) 719-1800.

What is Newport Beach Surgical And Medical Group Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Newport Beach Surgical And Medical Group Inc enrolled in Medicare?

Yes. Newport Beach Surgical And Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Newport Beach Surgical And Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Newport Beach Surgical And Medical Group Inc. 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. The largest specialties are Dermatology (6), Clinical Social Worker (1) and Ophthalmology (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Newport Beach Surgical And Medical Group Inc was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.