NEWPORT HEART MEDICAL GROUP INC
NPI 1811986268
Specialist in Newport Beach, CA

Active since October 18, 2005CLIA 05D0966997 · Waiver
415 OLD NEWPORT BLVD, # 200, NEWPORT BEACH, CA 92663(949) 548-9611(949) 548-9958 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Newport Heart Medical Group Inc NPPES

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

NEWPORT HEART MEDICAL GROUP INC (NPI 1811986268) is a healthcare organization registered as a specialist in Newport Beach, California and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Susan Foster, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1811986268
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEWPORT HEART MEDICAL GROUP INC
Location Address415 OLD NEWPORT BLVD, # 200Newport Beach, CA 92663
Mailing Address415 Old Newport Blvd, # 200Newport Beach, CA 92663 · (949) 548-9611 · Fax (949) 548-9958
Fax(949) 548-9958
Organization SubpartNo
Authorized OfficialSusan FosterBusiness Manager · (949) 548-9611
Enumeration DateOctober 18, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1811986268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
415 OLD NEWPORT BLVD, Newport Beach, CA 92663

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Newport Heart Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Newport Heart Medical Group Inc, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Cardiovascular Disease (Cardiology)8
Interventional Cardiology2
Cardiac Electrophysiology1

Clinicians, nearest first (11)

Cardiovascular Disease (Cardiology)
NPI 1942290309
415 OLD NEWPORT BLVD SUITE 200
Newport Beach, CA 92663
(949) 548-9611
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1972592319
415 OLD NEWPORT BLVD SUITE 200
Newport Beach, CA 92663
(949) 548-9611
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1992794465
415 OLD NEWPORT BLVD SUITE 200
Newport Beach, CA 92663
(949) 548-9611
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1952390395
415 OLD NEWPORT BLVD SUITE 200
Newport Beach, CA 92663
(949) 548-9611
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1730178807
415 OLD NEWPORT BLVD SUITE 200
Newport Beach, CA 92663
(949) 548-9611
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1912996356
415 OLD NEWPORT BLVD SUITE 200
Newport Beach, CA 92663
(949) 548-9611
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1245421445
415 OLD NEWPORT BLVD. SUITE 200
Newport Beach, CA 92663
(949) 548-9611
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1598922320
415 OLD NEWPORT BLVD STE 200
Newport Beach, CA 92663
(949) 548-9611
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1790878551
415 OLD NEWPORT BLVD STE 200
Newport Beach, CA 92663
(949) 548-9611
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1013336643
455 OLD NEWPORT BLVD STE 200
Newport Beach, CA 92663
(949) 548-9611
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiac Electrophysiology
NPI 1609011204
400 NEWPORT CENTER DR STE 704
Newport Beach, CA 92660
(949) 785-6300
✔ PECOS✔ Accepts Medicare3.2 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0966997

Newport Heart Medical Group · Newport Beach, CA
Active · expires Oct 28, 2027
CLIA Number05D0966997
Laboratory TypePractitioner Other
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorRichard J. Haskell MD
Laboratory Phone(949) 548-9611
Laboratory LocationNewport Heart Medical Group415 Old Newport, Suite 200, Newport Beach, CA 92663
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Heart Medical Group Inc's NPI number?

The NPI number for Newport Heart Medical Group Inc is 1811986268. It was assigned to this organization in the NPPES registry on October 18, 2005.

Where is Newport Heart Medical Group Inc located?

Newport Heart Medical Group Inc is located at 415 Old Newport Blvd # 200, Newport Beach, CA 92663. The listed phone number is (949) 548-9611.

What is Newport Heart Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Newport Heart Medical Group Inc enrolled in Medicare?

Yes. Newport Heart Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Newport Heart Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Newport Heart 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 Cardiovascular Disease (Cardiology) (8), Interventional Cardiology (2) and Cardiac Electrophysiology (1). Of these, 9 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Newport Heart Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0966997) is associated with this NPI, valid through October 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Newport Heart Medical Group Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.