Active NPI
Pouria Mossahebi, MD, PHD
- Vascular & Interventional Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- A193658
- Practice address
- 550 University Blvd
Indianapolis, IN 46202-5149 - Phone
- (317) 274-1866
- NPI assigned
- Apr 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME182916 | FL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | A193658 | CA | Primary |
Addresses
Primary practice location
550 University Blvd
Indianapolis, IN 46202-5149
Mailing address
550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 274-1866
Other practice location 1
52 Underwood St
Orlando, FL 32806-1110
Phone (407) 649-6823
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10211 Loughton Ave
Bakersfield, CA 93311-4957
Phone (818) 639-2901
1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (818) 639-2901
121 Waterford Cir
Rancho Mirage, CA 92270-3100
Phone (818) 639-2901
17100 Euclid St
Fountain Valley, CA 92708-4004
Phone (818) 639-2901
317 N Palm Dr
Apt 4C
Beverly Hills, CA 90210-5800
Phone (818) 639-2901
3700 S St
Lakewood, CA 90712-1419
Phone (818) 639-2901
47111 Monroe St
Indio, CA 92201-6739
Phone (818) 639-2901
6601 White Feather Rd
Joshua Tree, CA 92252-6607
Phone (818) 639-2901
Hospital & facility affiliations
- Uci Health-Orange
- Uci Health-Lakewood
- Desert Regional Medical Center
- Palmdale Regional Medical Center
- Hi-Desert Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A193658 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Imaging Associates Inc | Vascular & Interventional Radiology | Current | Accepting new patients |
Locations
17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200
47111 Monroe St
#1112
Indio, CA 92201
Interoperability endpoints
- pmossahebimd256103@direct.froedtert.com
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1144872052
CA, Vascular & Interventional Radiology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1104856095
-
- General Acute Care Hospital
- Joshua Tree, CA
- NPI 1851787295
-
- General Acute Care Hospital
- Palmdale, CA
- NPI 1508856535
-
- General Acute Care Hospital
- Lakewood, CA
- NPI 1184655581
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1063919900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 UNIVERSITY BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025149",
"telephone_number": "317-274-1866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 UNIVERSITY BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025149",
"telephone_number": "317-274-1866"
}
],
"practiceLocations": [
{
"address_1": "52 Underwood St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061110",
"country_code": "US",
"telephone_number": "407-649-6823",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSSAHEBI",
"first_name": "POURIA",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-08",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME182916",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A193658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.