Individual provider Active NPI

Anoop Maheshwari, M.D.

  • Pulmonary Disease Physician
  • Corona, CA
National Provider Identifier
1114944824
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A45841 Issued in CA
Practice address
1157 W Grand Blvd
Corona, CA 92882
Phone
(951) 737-5809
Fax
(951) 848-6923
NPI assigned
Jul 17, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A045841 CA
Pulmonary Disease Physician 207RP1001X A45841 CA Primary

Addresses

Primary practice location

1157 W Grand Blvd
Corona, CA 92882

Mailing address

1157 W Grand Blvd
Corona, CA 92882-4364
Phone (951) 737-5809

Other practice location 1

4646 Brockton Ave Ste 202
Riverside, CA 92506-0104
Phone (951) 737-5809

Other practice location 2

23180 Hemlock Ave
Moreno Valley, CA 92557-8001
Phone (951) 737-5809

Other practice location 3

31571 Canyon Estates Dr Ste 2019
Lake Elsinore, CA 92532-0468
Phone (951) 808-0954

Other practice location 4

1157 W Grand Blvd
Corona, CA 92882
Phone (951) 737-5809

Other identifiers 3

IdentifierTypeStateIssuer
05D0939366OtherCACLIA
00A458411MedicaidCA
A45841OtherCAMEDICAL BOARD LIC

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
I20040212000701 CA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4981598513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anoop Maheshwari M.D Prof. Corp.Group PAC ID 5890944839, 2 clinicians

Practice addresses (Care Compare)

31571 Canyon Estates Dr
Suite 219
Lake Elsinore, CA 92532-0412
Phone (951) 737-5809

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as individual
Quality
54.34
Improvement activities
40
Cost
84.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45841CAMDGeneral Practice Dentistry
A045841CAMDSpecialist
A45841CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anoop Maheshwari M.D Prof. Corp. Specialist CurrentSince Mar 6, 1989 Accepting new patients
Joel a Pengson, MD, a Medical Corporation Single Specialty PastSince Apr 1, 2011 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Lechner Chiropractic, Inc Single Specialty Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients

Locations

1157 W Grand Blvd
Corona, CA 92882
Phone (951) 272-0700

2275 S Main St
Ste 103
Corona, CA 92882
Phone (951) 808-0954

613 S Howard St
Corona, CA 92879
Phone (951) 343-1978

31571 Canyon Estates Dr
Ste 2019
Lake Elsinore, CA 92532
Phone (951) 808-0954

31571 Canyon Estates Dr
Ste 219
Lake Elsinore, CA 92532
Phone (651) 674-7811

23180 Hemlock Ave
Moreno Valley, CA 92557
Phone (951) 243-6460

4646 Brockton Ave
Ste 202
Riverside, CA 92506
Phone (909) 774-2800

36243 Inland Valley Dr
Ste 60
Wildomar, CA 92595
Phone (909) 737-5809

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: akm102pcs@m1272.primeclinicalsystems.direct-ci.com
  • Direct secure messaging: amaheshwari182026@direct.llu.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFHAED/Endpoint/GFHAED

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Citrus Grove Post AcuteRiverside, CA, CCN 056315 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Apr 24, 2024
Apr 24, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114944824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 W GRAND BLVD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928824364",
            "telephone_number": "951-737-5809",
            "fax_number": "951-848-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 W GRAND BLVD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92882",
            "telephone_number": "951-737-5809",
            "fax_number": "951-848-6923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4646 Brockton Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925060104",
            "country_code": "US",
            "telephone_number": "951-737-5809",
            "fax_number": "951-848-6923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23180 Hemlock Ave",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925578001",
            "country_code": "US",
            "telephone_number": "951-737-5809",
            "fax_number": "951-848-6923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31571 Canyon Estates Dr Ste 2019",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925320468",
            "country_code": "US",
            "telephone_number": "951-808-0954",
            "fax_number": "951-848-6923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1157 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "92882",
            "country_code": "US",
            "telephone_number": "951-737-5809",
            "fax_number": "951-848-6923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHESHWARI",
        "first_name": "ANOOP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A045841",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A45841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0939366",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A458411",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD LIC",
            "identifier": "A45841",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.