Individual provider Active NPI

Xolani Percy Mdluli, MD

  • Infectious Disease Physician
  • Palm Springs, CA
National Provider Identifier
1043418023
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A99214 Issued in CA
Practice address
1180 N Indian Canyon Dr
Suite E218
Palm Springs, CA 92262-4800
Phone
(917) 539-8672
Fax
(760) 544-6166
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A99214 CA
Infectious Disease Physician 207RI0200X A99214 CA Primary

Addresses

Primary practice location

1180 N Indian Canyon Dr
Suite E218
Palm Springs, CA 92262-4800

Mailing address

PO Box 2644
Palm Springs, CA 92263-2644
Phone (917) 539-8672

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
I20080108000410 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 6800976515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1180 N Indian Canyon Dr
Suite E218
Palm Springs, CA 92262-4885
Phone (760) 416-4833

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
A99214CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Oct 1, 2015 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients

Locations

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39000 Bob Hope Dr
Ste 310
Rancho Mirage, CA 92270

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1043418023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2644",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922632644",
            "telephone_number": "917-539-8672",
            "fax_number": "760-544-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "SUITE E218",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "917-539-8672",
            "fax_number": "760-544-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MDLULI",
        "first_name": "XOLANI",
        "middle_name": "PERCY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A99214",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A99214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.