NPIMap

Individual provider Active NPI

Mohammad Reza Nahed, MD FCCP

  • Pulmonary Disease Physician
  • Mission Hills, CA
National Provider Identifier
1043218563
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A33769 Issued in CA
Practice address
11550 Indian Hills Rd
301
Mission Hills, CA 91345
Phone
(818) 365-4585
Fax
(818) 365-5265
NPI assigned
Jul 8, 2005
Reactivated
Jan 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A33769 CA Primary

Addresses

Primary practice location

11550 Indian Hills Rd
301
Mission Hills, CA 91345

Mailing address

PO Box 262265
301
San Diego, CA 92196-2265
Phone (818) 639-4333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071228000190 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8729168083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11550 Indian Hills Rd
Suite 301
Mission Hills, CA 91345-1203
Phone (818) 365-4585

Hospital & facility affiliations

  • Providence Home Health la County North Home health agency, Burbank, CA, CCN 057627
  • Laglen Home Inc. Home health agency, Burbank, CA, CCN 757164
  • A Flying Eagle Home Health Home health agency, Simi Valley, CA, CCN 059027
  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
M. Reza Nahed, M.D. Inc CurrentSince Oct 1, 2007 Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

11550 Indian Hls
Ste 301
Mission Hills, CA 91345
Phone (818) 365-4585

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mnahed350491@oc.providencedirect.org

Organizations & group practices 2

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1043218563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262265",
            "address_2": "301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921962265",
            "telephone_number": "818-639-4333",
            "fax_number": "818-639-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "301",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "91345",
            "telephone_number": "818-365-4585",
            "fax_number": "818-365-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHED",
        "first_name": "MOHAMMAD",
        "middle_name": "REZA",
        "credential": "MD FCCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2016-05-19",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A33769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.