Individual provider Active NPI

Nadir Ali Eltahir, MD

  • Pulmonary Disease Physician
  • Pomona, CA
National Provider Identifier
1053389338
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A61585 Issued in CA
Practice address
1940 N Orange Grove Ave
Pomona, CA 91767-3002
Phone
(909) 865-6900
Fax
(909) 865-6300
NPI assigned
Mar 10, 2006
Last updated
Sep 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A61585 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A61585 CA
Pulmonary Disease Physician 207RP1001X A61585 CA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X A61585 CA

Addresses

Primary practice location

1940 N Orange Grove Ave
Pomona, CA 91767-3002

Mailing address

840 Towne Center Dr
Chaparral Medical Group, Inc.
Pomona, CA 91767-5900
Phone (909) 398-1550

Other identifiers 1

IdentifierTypeStateIssuer
00A615850MedicaidCA

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
I20091027000358 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9830236660 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chaparral Medical Group IncGroup PAC ID 6800709403, shared by 2 NPIs, 66 clinicians

Practice addresses (Care Compare)

1940 N Orange Grove Ave
Pomona, CA 91767-3002
Phone (909) 865-6900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
40.87
Promoting interoperability
75
Improvement activities
40
Cost
74.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61585CAMDGeneral Practice Dentistry
A61585CAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. Internal Medicine Current Accepting new patients
Chaparral Medical Group Inc CurrentSince Aug 1, 2000 Accepting new patients
Chaparral Medical Group Inc Internal Medicine CurrentSince Aug 1, 2000 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
CMG Clinical Laboratory and Ancillary Services, Inc. CurrentSince Sep 26, 2003 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Chaparral Medical Group Inc. CurrentSince Aug 1, 2000 Accepting new patients
Priority Sleep Centers, LLC CurrentSince Nov 15, 2019 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
Chaparral Medical Group Inc Internal Medicine Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Sleepology Sleep Medicine Past Accepting new patients
Dignity Health Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Chino Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

1801 W Olympic Blvd
Pasadena, CA 91199

1866 N Orange Grove Ave
Ste 101
Pomona, CA 91767
Phone (909) 505-1078

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

1940 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 620-8443

1940 N Orange Grove Ave
Ste A
Pomona, CA 91767
Phone (909) 629-0444

840 Towne Center Dr
Pomona, CA 91767

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

1330 San Bernardino Rd
Ste L
Upland, CA 91786
Phone (909) 833-0110

585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1053389338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "address_2": "CHAPARRAL MEDICAL GROUP, INC.",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N ORANGE GROVE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673002",
            "telephone_number": "909-865-6900",
            "fax_number": "909-865-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTAHIR",
        "first_name": "NADIR",
        "middle_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61585",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A61585",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A61585",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A61585",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A615850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.