NPIMap

Individual provider Active NPI

Ammar Alnaser, M.D.

  • Nephrology Physician
  • Mission Hills, CA
National Provider Identifier
1073909370
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A151516 Issued in CA
Practice address
11550 Indian Hills Rd Ste 371
Mission Hills, CA 91345-1252
Phone
(818) 365-1194
Fax
(818) 898-3835
NPI assigned
Apr 13, 2015
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A151516 CA Primary

Addresses

Primary practice location

11550 Indian Hills Rd Ste 371
Mission Hills, CA 91345-1252

Mailing address

11550 Indian Hills Rd Ste 371
Mission Hills, CA 91345-1252
Phone (818) 365-1194

Other identifiers 1

IdentifierTypeStateIssuer
CB351467OtherCANEPHROLOGY

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
I20200727003402 CA Practitioner - NephrologyPractitioner - Internal Medicine 0840614541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Consultants Medical Group IncGroup PAC ID 5597739276, 13 clinicians

Practice addresses (Care Compare)

11550 Indian Hills Rd
Suite 371
Mission Hills, CA 91345-1252
Phone (818) 365-1194

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151516CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Consultants Medical Group, Inc CurrentSince Aug 1, 2020 Accepting new patients
Deanco Healthcare LLC. Past Accepting new patients
Laurel Canyon Dialysis, LLC Past Accepting new patients
Dignity Community Care Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Pacifica of the Valley Corporation Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Northridge Kidney Center, LLC PastSince Jun 12, 2022 Accepting new patients

Locations

11550 Indian Hills Rd
Ste 371
Mission Hills, CA 91345
Phone (818) 365-1194

8987 Laurel Canyon Blvd
Sun Valley, CA 91352
Phone (818) 771-9950

23421 Lyons Ave
Valencia, CA 91355
Phone (661) 753-9891

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ammar.alnaser@direct.davitaphysiciansolutions.com

Organizations & group practices 8

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 9

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1073909370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 371",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451252",
            "telephone_number": "818-365-1194",
            "fax_number": "818-898-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 371",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451252",
            "telephone_number": "818-365-1194",
            "fax_number": "818-898-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALNASER",
        "first_name": "AMMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A151516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEPHROLOGY",
            "identifier": "CB351467",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.