PATRICIA SHIH-TING TSAI M.D.
NPI 1538100896
Internal Medicine - Gastroenterology in Newport Beach, CA

Q: What is Patricia Tsai's NPI number?

The NPI number for Patricia Tsai is 1538100896. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Patricia Tsai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Tsai was last updated on June 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 09, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2100706 · Certificate of Compliance

73.44/100

CMS Quality Rating

496 OLD NEWPORT BLVD, # 1, NEWPORT BEACH, CA 92663(949) 650-4630 Get Directions Write a Review

NPPES record last updated: June 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Patricia Shih-ting Tsai M.d. NPPES

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

PATRICIA SHIH-TING TSAI M.D. (NPI 1538100896) is an individual gastroenterology provider in Newport Beach, California, licensed in California (A64184) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through March 13, 2028, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1995).

NPPES Registry Identity

NPI1538100896

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NamePATRICIA SHIH-TING TSAICredential: M.D.

Location Address496 OLD NEWPORT BLVD, # 1Newport Beach, CA 92663-4263

Mailing AddressPo Box 788Hemet, CA 92546-0788 · (951) 929-6260 · Fax (951) 765-2855

Phone(949) 650-4630

Sole ProprietorNo

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1995

Enumeration DateJune 9, 2006

Last NPPES UpdateJune 7, 2012

✔ NPI 1538100896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · A64184

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

496 OLD NEWPORT BLVD, Newport Beach, CA 92663

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Other Identifiers 3

Medicaid00A641840CA

Medicare PINA64184ACA

Medicare UPINH78293CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patricia Shih-ting Tsai M.d. 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 ID3870564065

PECOS Enrollment IDI20040802001566

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.

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 05D2100706

Patricia Tsai MD PC Laboratory · Newport Beach, CA

Active · expires Mar 13, 2028

CLIA Number05D2100706

Laboratory TypePhysician Office

Certificate Effective DateMarch 14, 2026

Certificate Expiration DateMarch 13, 2028

Laboratory DirectorDr. Ahmad Ibrahim

Laboratory Phone(949) 413-3367

Laboratory LocationPatricia Tsai MD PC Laboratory496 Old Newport Blvd, Ste #1, Newport Beach, CA 92663

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

2,201 services349 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

793 services372 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

261 services209 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

257 services253 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

234 services217 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

211 services195 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

173 services173 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

146 services138 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

104 services102 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

100 services96 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

56 services56 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

51 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services25 patients

Control of bleeding of upper large bowel using a flexible endoscope 45382

This procedure involves using a flexible endoscope, a thin tube with a light and camera, to view and control bleeding in the upper large bowel. Special tools can be passed through the endoscope to stop the bleeding. It's a minimally invasive way to address this issue.

24 services23 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

14 services14 patients

Telephone or internet assessment with verbal and written report by consulting physician, 21-30 minutes 99448

This is a virtual consultation with a specialist doctor lasting between 21-30 minutes. It can take place over the phone or internet. After the session, the doctor will provide a written report about your health condition and any recommended next steps.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

52.81

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

91%1,220 patients4/55-star benchmark: 100%

Colorectal Cancer Screening

1%2,151 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

62%5,260 patients1/55-star benchmark: 100%

One-Time Screening for Hepatitis C Virus (HCV) for all Patients

0%1,264 patients1/55-star benchmark: 98%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

41%2,915 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

75%1,182 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

63%70 patients2/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

100%975 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

ANDREW S. IRANIHA INC

General Acute Care Hospital

496 OLD NEWPORT BLVD, SUITE 2
NEWPORT BEACH, CA 92663

Orange County (949) 646-8444

DAN AVIEL MANDEL MD

Internal Medicine (Rheumatology)

496 OLD NEWPORT BLVD, SUITE 7
NEWPORT BEACH, CA 92663

Orange County (949) 631-6500

DAN A. MANDEL, M.D., A MEDICAL CORPORATION

Internal Medicine (Rheumatology)

496 OLD NEWPORT BLVD, SUITE 7
NEWPORT BEACH, CA 92663

Orange County (949) 631-6500

PATRICIA SHIH-TING TSAI MD INC

Internal Medicine (Gastroenterology)

496 OLD NEWPORT BLVD, # 1
NEWPORT BEACH, CA 92663

Orange County (949) 650-4630

DR. ANDREW S IRANIHA M.D.,F.A.C.S

Surgery

496 OLD NEWPORT BLVD, SUITE 2
NEWPORT BEACH, CA 92663

Orange County (949) 646-8444

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 Patricia Tsai's NPI number?

The NPI number for Patricia Tsai is 1538100896. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Patricia Tsai located?

Patricia Tsai practices at 496 Old Newport Blvd # 1, Newport Beach, CA 92663. The listed phone number is (949) 650-4630.

What is Patricia Tsai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Patricia Tsai enrolled in Medicare?

Yes. Patricia Tsai 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.

Does Patricia Tsai hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2100706) is associated with this NPI, valid through March 13, 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 Patricia Tsai was last updated on June 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.