Odyssey Asc Endoscopy Center LLC
NPI 1093037020ActiveOrganization· Clinic/Center, Endoscopy· Irvine, CA
Clinic/Center, Endoscopy in Irvine, California, registered in NPPES in February 2010. The authorized official on file is Jun-Ichi Ohara, M.D., Medical Director. Medicare paid $23,916 for services to 43 patients in 2024.
Overview
| NPI | 1093037020 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2010 |
| Last updated in NPPES | Feb 18, 2020 |
| Certified by provider | Feb 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Endoscopy Primary | 261QE0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Ambulatory Surgical Center (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 43 |
|---|---|
| Services billed | 56 across 5 procedure codes |
| Paid by Medicare | $23,916 |