OLDE DEL MAR SURGICAL MEDICAL GROUP, INC.
NPI 1649430661
Surgery in La Jolla, CA

Q: What is Olde Del Mar Surgical Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 12, 2008

9850 GENESEE AVE, SUITE 570, LA JOLLA, CA 92037(858) 457-4917 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Olde Del Mar Surgical Medical Group, Inc. NPPES

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

OLDE DEL MAR SURGICAL MEDICAL GROUP, INC. (NPI 1649430661) is a healthcare organization registered as a surgery in La Jolla, California and active in the NPI registry since June 2008. The organization maintains a secondary practice location in Coronado and lists Sunil Bhoyrul, President, as its authorized official.

NPPES Registry Identity

NPI1649430661

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameOLDE DEL MAR SURGICAL MEDICAL GROUP, INC.

Location Address9850 GENESEE AVE, SUITE 570La Jolla, CA 92037-1224

Mailing Address9850 Genesee Ave Ste 570La Jolla, CA 92037-1229 · (858) 457-4917

Phone(858) 457-4917

Organization SubpartNo

Authorized OfficialSunil BhoyrulPresident · (858) 457-4917

Enumeration DateJune 12, 2008

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1649430661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

9850 GENESEE AVE, La Jolla, CA 92037

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Secondary Practice Location 1

Location 1230 Prospect Pl Ste 310Coronado, CA 92118-1978 · Phone (619) 522-7118 · Fax (619) 522-7119

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olde Del Mar Surgical Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Olde Del Mar Surgical Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Pascal Bortz, M.D

General Surgery

NPI 1821330796

9850 GENESEE AVE STE 570
La Jolla, CA 92037

(858) 405-2650

✔ PECOS✔ Accepts MedicareSame address

Kirsten Goshen, FNP

Nurse Practitioner

NPI 1447795661

9850 GENESEE AVE SUITE 570
La Jolla, CA 92037

(858) 457-4917

✔ PECOS✔ Accepts Medicare0.2 mi

Sunil Bhoyrul, M.D.

General Surgery

NPI 1366559320

9850 GENESEE AVE 570
La Jolla, CA 92037

(858) 457-4917

✔ PECOS✔ Accepts Medicare0.2 mi

Michael Morell, M.D.

General Surgery

NPI 1225393176

1836 SOUTH AVE
La Crosse, WI 54601

(608) 782-7300

✔ PECOS✔ Accepts Medicare1,590 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 Olde Del Mar Surgical Medical Group, Inc.'s NPI number?

The NPI number for Olde Del Mar Surgical Medical Group, Inc. is 1649430661. It was assigned to this organization in the NPPES registry on June 12, 2008.

Where is Olde Del Mar Surgical Medical Group, Inc. located?

Olde Del Mar Surgical Medical Group, Inc. is located at 9850 Genesee Ave Suite 570, La Jolla, CA 92037. The listed phone number is (858) 457-4917.

What is Olde Del Mar Surgical Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Olde Del Mar Surgical Medical Group, Inc. enrolled in Medicare?

Yes. Olde Del Mar Surgical Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olde Del Mar Surgical Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Olde Del Mar Surgical Medical Group, 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. The largest specialties are General Surgery (3) and Nurse Practitioner (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Olde Del Mar Surgical Medical Group, Inc. was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.