NPI Details
DR. Maily Tara Creamer, D.O. is an internal medicine in Newport Beach, CA with 21 years of experience. The provider is 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. DR. Maily Tara Creamer, D.O. NPI is 1417164450. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduation Year:2004
The provider's business location address is:
510 SUPERIOR AVE
STE 200B
NEWPORT BEACH, CA
ZIP 92663-663
Phone: (949) 791-3001
Fax: (949) 791-3096
The NPI 1417164450 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Acupuncture with electrical stimulation, initial 15 minutes (HCPCS:97813)
- Acupuncture with electrical stimulation, each additional 15 minutes (HCPCS:97814)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
- Urinalysis, manual test (HCPCS:81002)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
- Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
The enumeration date for this NPI number is 5/17/2007 and was last updated on 6/26/2013.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | OS11017 | FLORIDA | No |
| 2 | 208000000X | Pediatrics | | 20A9324 | CALIFORNIA | No |
| 3 | 208000000X | Pediatrics | | OS11017 | FLORIDA | No |
| 4 | 207R00000X | Internal Medicine | | 20A9324 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 002548900 | MEDICAID | FLORIDA | |
| 2 | BB723T | MEDICARE PIN | CALIFORNIA | |
| 3 | 1494A | OTHER | FLORIDA | BCBSFL |
| 4 | DL104Z | MEDICARE PIN | FLORIDA | |
