Individual provider Active NPI

Fariba Gharai, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Long Beach, CA
National Provider Identifier
1003812348
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME94805 Issued in FL
Practice address
3828 Schaufele Ave Ste 340
Long Beach, CA 90808-1793
Phone
(657) 241-9051
Fax
(714) 665-4602
NPI assigned
Jun 22, 2005
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME94805 FL
Surgery Physician 208600000X 38145 KY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C55954 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME94805 FL Primary

Addresses

Primary practice location

3828 Schaufele Ave Ste 340
Long Beach, CA 90808-1793

Mailing address

3828 Schaufele Ave Ste 340
Long Beach, CA 90808-1793
Phone (657) 241-9051

Other practice location 1

2380 Harbor Blvd
Port Charlotte, FL 33952-5024
Phone (562) 698-0811

Other practice location 2

2380 Harbor Blvd
Port Charlotte, FL 33952-5024
Phone (562) 698-0811

Other identifiers 4

IdentifierTypeStateIssuer
C55954MedicaidCA
P00671276OtherFLMEDICARE RAILROAD
000147700MedicaidFL
P00671276OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081202000668 FL Practitioner - Thoracic Surgery 2264522366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Chicago College of Medicine and Surgery, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

14100 Fivay Rd
Suite 300
Hudson, FL 34667-7160
Phone (727) 372-4417

14502 N Dale Mabry Hwy
Suite 103
Tampa, FL 33618-2076
Phone (813) 533-1999

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
73.64
Promoting interoperability
99
Improvement activities
40
Cost
68.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME94805FLMDSurgery Physician
C55954CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vein & Aesthetics Center LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 1, 2022 Accepting new patients
Institute of Cardiovascular Excellence PLLC Past Accepting new patients
Ocala Health Surgical Group LLC Surgery Past Accepting new patients
Wheeling Heart Institute Inc Past Accepting new patients
Cardiology Consultants Past Accepting new patients

Locations

14502 N Dale Mabry Hwy
Ste 103
Tampa, FL 33618
Phone (813) 239-0905

Networks

  • FL HMO
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO D-SNP
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL PPO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • Freedom Health HMO Network
  • FL HMO C-SNP

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1003812348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 SCHAUFELE AVE STE 340",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081793",
            "telephone_number": "657-241-9051",
            "fax_number": "714-665-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 SCHAUFELE AVE STE 340",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081793",
            "telephone_number": "657-241-9051",
            "fax_number": "714-665-4602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339525024",
            "country_code": "US",
            "telephone_number": "562-698-0811",
            "fax_number": "562-789-5473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2380 Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339525024",
            "country_code": "US",
            "telephone_number": "562-698-0811",
            "fax_number": "562-789-5473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHARAI",
        "first_name": "FARIBA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME94805",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "38145",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C55954",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME94805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C55954",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00671276",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000147700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00671276",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.