DR. NED PREMYODHIN (MD) – Interventional Cardiology Physician, NPI 1669976585

DR. NED PREMYODHIN (MD) is a healthcare provider. based in Orange, California. specializing in INTERVENTIONAL CARDIOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A166671 (CA). The NPI Number for DR. NED PREMYODHIN (MD) is 1669976585

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. NED PREMYODHIN (MD)
NPI
1669976585
Phone
(714) 456-5691
Address
101 THE CITY DR S STE 400
Enumeration Date
23 March 2018
Last Update Date
16 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
7144465050
Graduation Year
2018 (8 years ago)
PAC ID
3072935600
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20250930004788
Address ID
CA928353817FU100XXDRXX502
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

511 INTERVENTIONAL CARDIOLOGY in CA

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Provider Addresses for DR. NED PREMYODHIN (MD)

  • 400, The City Drive South, Orange, Orange County, California, 92868, United States

    ORANGE, CA 928683201

    Phone: (714) 456-5691

    Fax: (714) 456-8874

    Type: Mailing

  • 100 E VALENCIA MESA DR STE 206

    FULLERTON, CA 928353817

    Phone: (714) 446-5050

    Fax: (714) 446-5150

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $2,390.

Total Amount is formed as General ($2,390) + Research ($0) + Ownership ($0) = $2,390.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Boston Scientific Corporation ($1,264).

Total Amount

$2,390

General + Research + Ownership

Payments

21

Total payment records

General Amount

$2,390

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250930004788IInterventional CardiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92868)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921993205View full group profile

Reviews

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Frequently asked questions

How do I look up DR. NED PREMYODHIN (MD) by NPI?
Use NPI 1669976585 when you need to reference DR. NED PREMYODHIN (MD) in forms, claims, or directories.
Is DR. NED PREMYODHIN (MD)'s NPI currently valid?
The extract we use shows DR. NED PREMYODHIN (MD) as active.
What field does DR. NED PREMYODHIN (MD) work in?
You can think of DR. NED PREMYODHIN (MD) as practicing within Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. NED PREMYODHIN (MD)'s primary listing?
We display Orange, California because that is what the record indicates for DR. NED PREMYODHIN (MD).
How can I contact DR. NED PREMYODHIN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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