Active NPI
Bahram Alavynejad, MD
- Pulmonary Disease Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A74844
- Practice address
- 1 Hoag Dr
Radiology Deptartment
Newport Beach, CA 92663-4162 - Phone
- (949) 764-6876
- Fax
- (949) 764-6874
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Newport Beach, CA
- NPI 1740220482
CA, Pulmonary Disease
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newport Critical Care Physicians Medical Group Inc
Practice addresses (Care Compare)
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 764-4624
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040628001156 | CA | Practitioner - Critical Care (Intensivists) | 2062498249 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A74844 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Critical Care Physicians Medical Group Inc | Pulmonary Disease | Current | Accepting new patients |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients |
Locations
1 Hoag Dr
#6100
Newport Beach, CA 92663
Phone (310) 480-1382
1 Hoag Dr
Ofc
Newport Beach, CA 92663
Phone (949) 764-6875
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A74844 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1 Hoag Dr
Radiology Deptartment
Newport Beach, CA 92663-4162
Mailing address
PO Box 749226
Los Angeles, CA 90074-9226
Phone (949) 263-8620
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A748440 | Other | CA | BLUE SHIELD OF CA |
| 00A748440 | Medicaid | CA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2009.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1124071972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749226",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900749226",
"telephone_number": "949-263-8620",
"fax_number": "949-263-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOAG DR",
"address_2": "RADIOLOGY DEPTARTMENT",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634162",
"telephone_number": "949-764-6876",
"fax_number": "949-764-6874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAVYNEJAD",
"first_name": "BAHRAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A74844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "00A748440",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A748440",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.