Individual provider Active NPI

Bahram Alavynejad, MD

  • Pulmonary Disease Physician
  • Newport Beach, CA
National Provider Identifier
1124071972
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A74844 Issued in CA
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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Critical Care Physicians Medical Group Inc 15 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 764-4624

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628001156 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2062498249 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A74844CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Critical Care Physicians Medical Group Inc Pulmonary Disease CurrentSince Jun 1, 2004 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)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A74844 CA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
00A748440OtherCABLUE SHIELD OF CA
00A748440MedicaidCA

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

Verify at the official NPI Registry.