DR. HIDENORI MUTSUO IKUHARA M.D.
NPI 1598889750
Internal Medicine in Santa Ana, CA

Q: What is Hidenori Ikuhara's NPI number?

The NPI number for Hidenori Ikuhara is 1598889750. It was assigned to this individual provider in the NPPES registry on March 16, 2007. The provider is also known as Mutsuo H. Ikuhara M.D..

Q: What is Hidenori Ikuhara's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Hidenori Ikuhara was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 16, 2007PECOS Enrolled

1212 W 17TH ST, SANTA ANA, CA 92706(714) 954-0432(714) 796-6265 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2023, Sep 19, 2018 (2 updates tracked since 2018).

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About Dr. Hidenori Mutsuo Ikuhara M.d. NPPES

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

DR. HIDENORI MUTSUO IKUHARA M.D. (NPI 1598889750) is an individual internal medicine provider in Santa Ana, California, licensed in California (G-63739) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598889750

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. HIDENORI MUTSUO IKUHARACredential: M.D.

Location Address1212 W 17TH STSanta Ana, CA 92706-3418

Mailing Address1835 W 153rd StGardena, CA 90249-4205 · (310) 569-3512 · Fax (310) 327-8033

Phone(714) 954-0432

Fax(714) 796-6265

Sole ProprietorYes

Enumeration DateMarch 16, 2007

Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration

NPPES CertifiedDecember 12, 2023

✔ NPI 1598889750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · G-63739

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1212 W 17TH ST, Santa Ana, CA 92706

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Other Names 1

Other Name (5)Mutsuo H. Ikuhara M.d.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hidenori Mutsuo Ikuhara M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92706 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.

Other Providers at the Same Location NPPES 11

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

DR. RONALD JOSEPH ORTIZ M.D.

Family Medicine