Nicolas Von Dem Bussche (NPI# 1720037682, PAC ID# 3870524127) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1720037682 |
| PAC ID by PECOS | 3870524127 |
| Professional Enrollment ID | I20050825000941 |
| Full Name | Nicolas Von Dem Bussche |
| Organization Legal Name | NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC |
| Address |
16200 Sand Canyon Ave Irvine CA 92618-3714 |
| Phone Number | 9497644624 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1850285735 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050224 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| 050769 | HOAG ORTHOPEDIC INSTITUTE |
| 050696 | KECK HOSPITAL OF USC |
| Address | Phone | Organization |
|---|---|---|
| 19582 Beach Blvd, Suite 160, Huntington Beach, CA 92648-2996 | 7143784992 | NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC |
| 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 9497644624 | NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC |
| 16250 Sand Canyon Ave, Irvine, CA 92618-3714 | 9493653534 | NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC |
| 1 Hoag Dr, Newport Beach, CA 92663-4162 | 9496453534 | NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC |
| 360 San Miguel, Suite 106, Newport Beach, CA 92660-7853 | 9493653534 | NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC |
| 15000 Kensington Park Dr, Suite 150, Tustin, CA 92782-1836 | 7144778340 | NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_405_overall | Appropriate Follow-up Imaging for Incidental Abdominal Lesions (100%: worst, 0% best) | 0% | |
| MIPS_EC_405_overall | Appropriate Follow-up Imaging for Incidental Abdominal Lesions (100%: worst, 0% best) | 0% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Boyd Baker | Interventional Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Jennifer M-j Overstreet | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 19582 Beach Blvd, Suite 160, Huntington Beach, CA 92648-2996 |
| Nina R Woldenberg | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Sarah Y Chan | Physician Assistant | Newport Harbor Radiology Associates Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Shaya Ghazinoor | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Zaihleen Shariff Keller | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| Scott Thomas Williams | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Karence Chan | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Saghi S Brown | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 1 Hoag Dr, Newport Beach, CA 92663-4162 |
| January K Lopez | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Street Address |
16200 SAND CANYON AVE |
| City | IRVINE |
| State | CA |
| Zip | 92618-3714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard D Epstein | Pathology | Newport Harbor Pathology Medical Group Inc | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| John S Cupp | Pathology | Newport Harbor Pathology Medical Group Inc | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Weston G Chandler | Hospitalist | Pacific Hospitalist Associates | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Arell S Shapiro | Pathology | Newport Harbor Pathology Medical Group Inc | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Jascha A Wollank | Hospitalist | Pacific Hospitalist Associates | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Victor L Sanders | Hospitalist | Pacific Hospitalist Associates | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Veronica Rausei-mills | Pathology | Newport Harbor Pathology Medical Group Inc | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Shaya Ghazinoor | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Derrick M Hong | Hospitalist | Pacific Hospitalist Associates | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Anna-maria K Angelakis | Hospitalist | Pacific Hospitalist Associates | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Y Chen | Diagnostic Radiology | Summit Radiology PC | 41 Modena, Irvine, CA 92618-0104 |
| Jim Yung Chun Chung | Chiropractic | 14785 Jeffrey Rd, Suite 102, Irvine, CA 92618-0409 | |
| Tzong-shin S Yang | Physical Therapy | Unicare Physical Therapy, Inc.. | 14785 Jeffrey Rd, Suite 108, Irvine, CA 92618-0410 |
| Jenn Tih Yang | Physical Therapy | Unicare Physical Therapy, Inc.. | 14785 Jeffrey Rd, Suite 108, Irvine, CA 92618-0410 |
| Roger Lee | Chiropractic | 14795 Jeffrey Rd, Suite 103, Irvine, CA 92618-0417 | |
| Nuha Krad | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 172 Gitano, Irvine, CA 92618-1115 |
| Kenneth A Cantos | Pathology | Newport Harbor Pathology Medical Group Inc | 20 Fairbanks, Suite 184, Irvine, CA 92618-1673 |
| Parkson J Lin | Podiatry | 2 Hughes, Suite 150, Irvine, CA 92618-2036 | |
| Brent Silvers | Internal Medicine | 2 Hughes, Suite 150, Irvine, CA 92618-2036 | |
| Martha E Wittenberg | Family Practice | Institute for Progressive Medicine A Professional Medical Corporation | 4 Hughes, Suite 175, Irvine, CA 92618-2045 |
| Find all physicians in zip 92618 | |||
| City | IRVINE |
| Zip Code | 92618 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | IRVINE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Nicolas Von Dem Bussche.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.