Mehrdad M.R. Amirhamzeh, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

G86572 Issued in CA

Practice address

1610 W Yosemite Ave
Suite 3
Manteca, CA 95337-5189

Phone

(209) 665-4412

Fax

(209) 665-4415

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Cardiac SurgeryAlso: General Surgery

Education

Medical College of Wisconsin, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mehrdad.amirhamzeh@mami.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BGDCBA/Endpoint/BGDCBA

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.

• Mehrdad Amirhamzeh, M.D., Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Manteca, CA
  • NPI 1144331224
  Medicare reassignment NPD Authorized official
• Doctors Hospital of Manteca, Inc.

  • General Acute Care Hospital
  • Manteca, CA
  • NPI 1992736599
  NPD (past)
• Doctors Medical Center of Modesto, Inc.

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923
  NPD (past)
• Presbyterian Healthcare Services

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1174523096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 W YOSEMITE AVE",
            "address_2": "SUITE 3",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375189",
            "telephone_number": "209-665-4412",
            "fax_number": "209-665-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 W YOSEMITE AVE",
            "address_2": "SUITE 3",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375189",
            "telephone_number": "209-665-4412",
            "fax_number": "209-665-4415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 W El Portal Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953482848",
            "country_code": "US",
            "telephone_number": "209-349-8847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIRHAMZEH",
        "first_name": "MEHRDAD",
        "middle_name": "M.R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G86572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "P00014381",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G865720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruben Edward Alvarez
• Shelby G Alvarez, PTA
• Chloe Elizabeth Amabile
• Isabel Christina Amancio, LMFT
• American Carequest East Bay
• Awnie A Ammar, D.D.S.
• Travita Marie Amos, NP
• Clarissa Andrade
• Jonathan Andrade
• Pamela Marie Andrews, DDS

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Manteca, CA
• Providers in Manteca, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.

Verify at the official NPI Registry.