BROAD REACH SPECIALTY SURGERY INC
NPI 1568971869
Radiology - Vascular & Interventional Radiology in Irvine, CA
About Broad Reach Specialty Surgery Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROAD REACH SPECIALTY SURGERY INC (NPI 1568971869) is a healthcare organization registered as a vascular & interventional radiology in Irvine, California and active in the NPI registry since September 2017. The organization lists John Joseph Hewett, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Broad Reach Specialty Surgery 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 Broad Reach Specialty Surgery Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Broad Reach Specialty Surgery Inc's NPI number?
The NPI number for Broad Reach Specialty Surgery Inc is 1568971869. It was assigned to this organization in the NPPES registry on September 29, 2017.
Where is Broad Reach Specialty Surgery Inc located?
Broad Reach Specialty Surgery Inc is located at 1400 Reynolds Ave Ste 200, Irvine, CA 92614. The listed phone number is (949) 387-4724.
What is Broad Reach Specialty Surgery Inc's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Broad Reach Specialty Surgery Inc enrolled in Medicare?
Yes. Broad Reach Specialty Surgery Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Broad Reach Specialty Surgery Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Radiology) reassigns their Medicare billing to Broad Reach Specialty Surgery 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 Broad Reach Specialty Surgery Inc was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Broad Reach Specialty Surgery Inc · NPI 1568971869
Vascular & Interventional Radiology organization in Irvine, California. Organization record, active in the CMS NPPES registry since September 29, 2017.
## Identity
- **NPI:** 1568971869 (Entity type: Organization)
- **Enumerated:** September 29, 2017
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **Organization subpart:** No
- **Authorized official:** John Hewett, PRESIDENT
## Practice location
- **Address:** 1400 REYNOLDS AVE STE 200, Irvine, CA 92614-5563
- **Phone:** (949) 387-4724
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Interventional Radiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1568971869) · Data from the CMS NPPES public registry.