ROOPA DILLIKAR M.D.
NPI 1932447893
Internal Medicine in Newport Beach, CA

Active since January 27, 2013PECOS EnrolledAccepts Medicare Assignment
84.41/100
CMS Quality Rating
360 SAN MIGUEL DR STE 300, NEWPORT BEACH, CA 92660(949) 557-0830(949) 557-0831 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2023, Apr 4, 2022, Mar 5, 2019 and 1 more (4 updates tracked since 2016).

About Roopa Dillikar M.d. NPPES

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

ROOPA DILLIKAR M.D. (NPI 1932447893) is an individual internal medicine provider in Newport Beach, California, licensed in California (A133737) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1932447893
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameROOPA DILLIKARCredential: M.D.
Location Address360 SAN MIGUEL DR STE 300Newport Beach, CA 92660-7820
Mailing Address360 San Miguel Dr Ste 300Newport Beach, CA 92660-7820 · (949) 557-0830 · Fax (949) 557-0831
Fax(949) 557-0831
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 27, 2013
Last NPPES UpdateApril 10, 20234 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
NPI 1932447893 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 · A133737
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.
360 SAN MIGUEL DR STE 300, Newport Beach, CA 92660

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

Roopa Dillikar M.d. 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 ID4385952407
PECOS Enrollment IDI20151008002578
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 13

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.
770 services427 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.
113 services113 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
66 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services55 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.
56 services56 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
33 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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.

84.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.67
Promoting Interoperability100
Improvement Activities40
Cost57.36

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$767.63 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 6

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

Family Medicine
360 SAN MIGUEL DR STE 300
NEWPORT BEACH, CA 92660
Family Medicine
360 SAN MIGUEL DR STE 300
NEWPORT BEACH, CA 92660
Internal Medicine
360 SAN MIGUEL DR STE 300
NEWPORT BEACH, CA 92660
Nurse Practitioner (Family)
360 SAN MIGUEL DR STE 300
NEWPORT BEACH, CA 92660
Internal Medicine
360 SAN MIGUEL DR STE 300
NEWPORT BEACH, CA 92660
Internal Medicine
360 SAN MIGUEL DR STE 300
NEWPORT BEACH, CA 92660

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 Roopa Dillikar's NPI number?

The NPI number for Roopa Dillikar is 1932447893. It was assigned to this individual provider in the NPPES registry on January 27, 2013.

Where is Roopa Dillikar located?

Roopa Dillikar practices at 360 San Miguel Dr Ste 300, Newport Beach, CA 92660. The listed phone number is (949) 557-0830.

What is Roopa Dillikar's specialty?

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

Is Roopa Dillikar enrolled in Medicare?

Yes. Roopa Dillikar 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 Roopa Dillikar was last updated on April 10, 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.