Individual provider Active NPI

Ghassan Kazmouz, MD

  • Interventional Cardiology Physician
  • Palm Springs, CA
National Provider Identifier
1083787980
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A66439 Issued in CA
Practice address
1180 North Indian Canyon Drive
Suite W304
Palm Springs, CA 92262
Phone
(760) 322-9562
Fax
(760) 320-4226
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A66439 CA Primary

Addresses

Primary practice location

1180 North Indian Canyon Drive
Suite W304
Palm Springs, CA 92262

Mailing address

PO Box 13773
Palm Desert, CA 92255
Phone (760) 322-9562

Other identifiers 2

IdentifierTypeStateIssuer
00A664390MedicaidCA
A66439OtherCAMEDICAL LICENSE

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
I20090420000449 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2264589795 Reassigns benefits to 2 organizations
Practice locations: Palm Springs, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1180 N Indian Canyon Dr
Suite W304
Palm Springs, CA 92262-4809
Phone (760) 322-9562

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Merit-based Incentive Payment System (MIPS)

Final score
21.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Jan 11, 2008 Accepting new patients
Ghassan Kazmouz MD Inc Interventional Cardiology CurrentSince Apr 1, 2021 Accepting new patients
Ghassan Kazmouz Group Interventional Cardiology PastSince Feb 25, 2012 Accepting new patients

Locations

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1180 N Indian Canyon Dr
Ste W304
Palm Springs, CA 92262
Phone (760) 322-9562

1180 N Indian Canyon Dr
Ste E319
Palm Springs, CA 92262
Phone (700) 325-1203

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 1

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1083787980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13773",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92255",
            "telephone_number": "760-322-9562",
            "fax_number": "760-320-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 NORTH INDIAN CANYON DRIVE",
            "address_2": "SUITE W304",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-322-9562",
            "fax_number": "760-320-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMOUZ",
        "first_name": "GHASSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A66439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A664390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A66439",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.