Individual provider Active NPI

Moneer J Eddin, M.D.

  • Cardiovascular Disease Physician
  • Lancaster, CA
National Provider Identifier
1073780938
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A106214 Issued in CA
Practice address
43723 20TH St W Ste 101
Lancaster, CA 93534-4784
Phone
(661) 726-3060
NPI assigned
May 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A106214 CA
Cardiovascular Disease Physician 207RC0000X A106214 CA Primary

Addresses

Primary practice location

43723 20TH St W Ste 101
Lancaster, CA 93534-4784

Mailing address

43723 20TH St W Ste 101
Lancaster, CA 93534-4784
Phone (661) 674-4222

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
I20100722000712 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 1052443264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Ohio State University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Antelope Valley Cardiology AssociatesGroup PAC ID 7416054614, 5 clinicians

Practice addresses (Care Compare)

43723 20TH St W
Suite 101
Lancaster, CA 93534-4784
Phone (661) 674-4222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal20
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106214CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjaya Khanal, M.D., Inc. Cardiovascular Disease Past Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1073780938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43723 20TH ST W STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344784",
            "telephone_number": "661-674-4222",
            "fax_number": "661-674-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43723 20TH ST W STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344784",
            "telephone_number": "661-726-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDIN",
        "first_name": "MONEER",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A106214",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A106214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.