Individual provider Active NPI

Farzan Shabbir Rajput, MD

  • Cardiovascular Disease Physician
  • Newport Beach, CA
National Provider Identifier
1043249808
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A95017 Issued in CA
Practice address
280 Newport Center Dr
Suite 110
Newport Beach, CA 92660-7526
Phone
(949) 870-6668
Fax
(949) 229-6462
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A95017 CA Primary

Addresses

Primary practice location

280 Newport Center Dr
Suite 110
Newport Beach, CA 92660-7526

Mailing address

PO Box 2716
Newport Beach, CA 92659-0170
Phone (949) 870-6668

Other identifiers 2

IdentifierTypeStateIssuer
00A950170OtherBLUE SHIELD OF CA
P00458295OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070131000692 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2567464787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3300 Irvine Ave
Suite 330
Newport Beach, CA 92660-3112
Phone (949) 870-6668

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95017CAMDMarriage & Family Therapist
A95017CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farzan S. Rajput, MD Inc Cardiovascular Disease CurrentSince Jul 4, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pacific Coast Cardiology Medical Group Cardiovascular Disease Past Accepting new patients

Locations

280 Newport Center Dr
Ste 110
Newport Beach, CA 92660
Phone (949) 478-3305

3300 Irvine Ave
Ste 330
Newport Beach, CA 92660
Phone (949) 870-6668

Organizations & group practices 3

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 1

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1043249808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2716",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926590170",
            "telephone_number": "949-870-6668",
            "fax_number": "949-229-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 NEWPORT CENTER DR",
            "address_2": "SUITE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607526",
            "telephone_number": "949-870-6668",
            "fax_number": "949-229-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJPUT",
        "first_name": "FARZAN",
        "middle_name": "SHABBIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A95017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00A950170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00458295",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.