NEWPORT ID, INC.
NPI 1548700313
Clinic/Center - Health Service in Newport Beach, CA

Active since February 27, 2017
9215 RESIDENCIA, NEWPORT BEACH, CA 92660(201) 888-3433 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Newport Id, Inc. NPPES

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

NEWPORT ID, INC. (NPI 1548700313) is a healthcare organization registered as a health service in Newport Beach, California and active in the NPI registry since February 2017. The organization lists Catherine M Koper, President, as its authorized official.

NPPES Registry Identity

NPI1548700313
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameNEWPORT ID, INC.
Location Address9215 RESIDENCIANewport Beach, CA 92660-9066
Mailing Address9215 ResidenciaNewport Beach, CA 92660-9066 · (201) 888-3433
Organization SubpartNo
Authorized OfficialCatherine M KoperPresident · (201) 888-3433
Enumeration DateFebruary 27, 2017
✔ NPI 1548700313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in CA · A131999
9215 RESIDENCIA, Newport Beach, CA 92660

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 Id, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Newport Id, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1245466929
320 SUPERIOR AVE SUITE 310
Newport Beach, CA 92663
(949) 515-3590
✔ PECOS4.3 mi

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

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 Id, Inc.'s NPI number?

The NPI number for Newport Id, Inc. is 1548700313. It was assigned to this organization in the NPPES registry on February 27, 2017.

Where is Newport Id, Inc. located?

Newport Id, Inc. is located at 9215 Residencia, Newport Beach, CA 92660. The listed phone number is (201) 888-3433.

What is Newport Id, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Newport Id, Inc. enrolled in Medicare?

Yes. Newport Id, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Newport Id, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Newport Id, 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. 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 Id, Inc. was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.