SEAN P NIKRAVAN MD
NPI 1558357319
Internal Medicine - Endocrinology, Diabetes & Metabolism in Newport Beach, CA

Q: What is Sean Nikravan's NPI number?

The NPI number for Sean Nikravan is 1558357319. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is Sean Nikravan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Sean Nikravan was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 September 26, 2005PECOS EnrolledAccepts Medicare Assignment

59.69/100

CMS Quality Rating

355 PLACENTIA AVE, STE 99, NEWPORT BEACH, CA 92663(949) 650-0616(949) 650-0600 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Sean P Nikravan Md NPPES

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

SEAN P NIKRAVAN MD (NPI 1558357319) is an individual endocrinology, diabetes & metabolism provider in Newport Beach, California, licensed in California (A80371) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1558357319

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameSEAN P NIKRAVANCredential: MD

Location Address355 PLACENTIA AVE, STE 99Newport Beach, CA 92663-3301

Mailing Address355 Placentia Ave, Ste 99Newport Beach, CA 92663-3301 · (949) 650-0600 · Fax (866) 293-0414

Phone(949) 650-0616

Fax(949) 650-0600

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateSeptember 26, 2005

Last NPPES UpdateJune 19, 2018

✔ NPI 1558357319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in CA · A80371

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

355 PLACENTIA AVE, Newport Beach, CA 92663

Open in Google Maps ↗

Other Identifiers 1

OtherA80371CA · State License

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

Sean P Nikravan 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 ID8123051372

PECOS Enrollment IDI20050916000977

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.

Areas of Expertise CMS Part B claims 14

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.

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.

861 services309 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

662 services11 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.

310 services136 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

231 services184 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

214 services64 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.

46 services46 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

40 services40 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

27 services25 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

23 services21 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

19 services14 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

18 services17 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250

This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.

18 services16 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.

15 services15 patients

Ultrasound guidance for tissue removal 76940

Ultrasound guidance for tissue removal is a procedure where sound waves create images to help locate abnormal tissue. This helps in accurate removal of the tissue without harming surrounding areas. This method is non-invasive, painless, and safe.

12 services12 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.

59.69/100

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

Individually scored

Quality

50.28

Improvement Activities

Cost

31.93

Reported Quality Measures

Controlling High Blood Pressure

46%175 patients2/55-star benchmark: 98%

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation

1%132 patients1/55-star benchmark: 100%

Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear

1%132 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

14%105 patients4/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

65%1,685 patients1/55-star benchmark: 100%

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

50%737 patients2/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

15%897 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers14 claims33 services$6.42 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

7 suppliers304 claims305 services$190.28 avg. paid by Medicare

Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554

DME-Other DME · category DE017N

2 suppliers18 claims18 services$204.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NEWPORT BEACH COMPREHENSIVE CARE MEDICAL GROUP, INC

Internal Medicine

355 PLACENTIA AVE, SUITE 102
NEWPORT BEACH, CA 92663

Orange County (949) 574-1091

BINH T. NGO, DERMATOLOGY, P.C.

Dermatology

355 PLACENTIA AVE, SUITE 308
NEWPORT BEACH, CA 92663

Orange County (213) 804-9778

MEDICAL AYURVEDA REJUVENATION CENTER A MEDICAL CORPORATION

Clinic/Center (Health Service)

355 PLACENTIA AVE, SUITE 201
NEWPORT BEACH, CA 92663

Orange County (949) 644-4566

DR. JOHN G MILLER MD

Family Medicine

355 PLACENTIA AVE, SUITE 103
NEWPORT BEACH, CA 92663

Orange County (949) 645-6412

AMIT SHAH DDS INC

Dentist (General Practice)

355 PLACENTIA AVE, # 205
NEWPORT BEACH, CA 92663

Orange County (949) 646-0818

DR. DAVID BENVENUTI MD

Surgery (Plastic and Reconstructive Surgery)

355 PLACENTIA AVE, SUITES 99 AND 104
NEWPORT BEACH, CA 92663

Orange County (949) 650-2345

DAVID BENVENUTI, M.D. F.A.C.S.

Clinic/Center (Ambulatory Surgical)

355 PLACENTIA AVE, #104
NEWPORT BEACH, CA 92663

Orange County (949) 650-2345

NEWPORT CARDIOVASCULAR ASSOCIATES

Internal Medicine (Cardiovascular Disease)

355 PLACENTIA AVE, SUITE 100
NEWPORT BEACH, CA 92663

Orange County (949) 650-4322

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 Sean Nikravan's NPI number?

The NPI number for Sean Nikravan is 1558357319. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Sean Nikravan located?

Sean Nikravan practices at 355 Placentia Ave Ste 99, Newport Beach, CA 92663. The listed phone number is (949) 650-0616.

What is Sean Nikravan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sean Nikravan enrolled in Medicare?

Yes. Sean Nikravan 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.

When was this NPI record last updated?

The NPPES record for Sean Nikravan was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.