NPIMap

Individual provider Active NPI

Georges Abou Rjaili, MD

  • Cardiovascular Disease Physician
  • Riverside, CA
National Provider Identifier
1073896544
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A140214 Issued in CA
Practice address
4500 Brockton Ave
Ste 203
Riverside, CA 92501-4090
Phone
(951) 686-3600
Fax
(951) 686-1162
NPI assigned
Sep 21, 2011
Last updated
Apr 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 7309604 NY
Cardiovascular Disease Physician 207RC0000X 48951 TN
Cardiovascular Disease Physician 207RC0000X A140214 CA Primary

Addresses

Primary practice location

4500 Brockton Ave
Ste 203
Riverside, CA 92501-4090

Mailing address

4500 Brockton Ave
Ste 203
Riverside, CA 92501-4090
Phone (951) 686-3600

Other identifiers 1

IdentifierTypeStateIssuer
1629016399OtherTNNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523002642 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4789830381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4500 Brockton Ave
Suite 203
Riverside, CA 92501-4006
Phone (951) 686-3600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.32
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Varicose vein removal229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140214CAMDMarriage & Family Therapist
A140214CAMDCardiovascular Disease Physician
7309604NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Nuclear, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Malcolm S Pond MD Inc & Chiayu Chen MD PTR Cardiology Associates Cardiovascular Disease CurrentSince May 1, 2016 Accepting new patients
Cardiac Imaging Inc CurrentSince Jul 12, 2022 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients

Locations

4500 Brockton Ave
Ste 203
Riverside, CA 92501
Phone (951) 686-3600

Interoperability endpoints

  • Direct secure messaging: drabourjaili@rvc.ssdirect.aprima.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1073896544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE",
            "address_2": "STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014090",
            "telephone_number": "951-686-3600",
            "fax_number": "951-686-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE",
            "address_2": "STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014090",
            "telephone_number": "951-686-3600",
            "fax_number": "951-686-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOU RJAILI",
        "first_name": "GEORGES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "7309604",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "48951",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A140214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629016399",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.