Dr Nimish Raj Kadakia, MD - Medicare Orthopedic Surgery in Irvine, CA

Dr Nimish Raj Kadakia, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Irvine, California. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Orthowest and his current practice location is 22 Odyssey Ste 205, Irvine, California. You can reach out to his office (for appointments etc.) via phone at (949) 870-3332.

Dr Nimish Raj Kadakia is licensed to practice in California (license number A79590) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194787275.

Contact Information

Dr Nimish Raj Kadakia, MD
22 Odyssey Ste 205,
Irvine, CA 92618-3197
(949) 870-3332
(949) 900-2116

Map and Direction




Physician's Profile

Full NameDr Nimish Raj Kadakia
GenderMale
SpecialityOrthopedic Surgery
Experience29 Years
Location22 Odyssey Ste 205, Irvine, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nimish Raj Kadakia graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1194787275
  • Provider Enumeration Date: 04/04/2006
  • Last Update Date: 10/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941264436
  • Enrollment ID: I20041115000889

Medical Identifiers

Medical identifiers for Dr Nimish Raj Kadakia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194787275NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery A79590 (California)Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine A79590 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorialcare Saddleback Medical CenterLaguna hills, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthowest307293262333

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nimish Raj Kadakia allows following entities to bill medicare on his behalf.
Entity NameSouth County Orthopedic Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053314625
PECOS PAC ID: 4284527987
Enrollment ID: O20040205001132
Entity NameOrthowest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760007330
PECOS PAC ID: 3072932623
Enrollment ID: O20200930002560

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nimish Raj Kadakia is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nimish Raj Kadakia, MD
24331 El Toro Rd Ste 200,
Laguna Woods, CA 92637-3116

Ph: (949) 870-3332
Dr Nimish Raj Kadakia, MD
22 Odyssey Ste 205,
Irvine, CA 92618-3197

Ph: (949) 870-3332

Reviews and Comments


Orthopaedic Surgery Doctors in Irvine, CA

Mr. Todd W Peters, M.D.
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Dr. Darius E Lin, MD
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Dr. Floyd Gilbert Shon, MD
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Dr. Matthew David Souster, M.D.
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Dr. Bruce M Albert, M.D.
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Phone: 949-727-0770    Fax: 949-727-7432
Vance Gardner, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 6 Harvey Ct, Irvine, CA 92617
Phone: 949-854-2803    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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