Moshe S Hendizadeh, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A139684 Issued in CA

Practice address

10966 W Pico Blvd
Los Angeles, CA 90064-2115

Phone

(310) 422-6111

Fax

(310) 861-9926

NPI assigned

Nov 20, 2014

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 1

Other names 1

• Sammy Hendizadeh Other name

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

Neurology

Education

Chicago College of Medicine and Surgery, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Favorite Home Health Home health agency, Woodland Hills, CA, CCN 753191
• Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24603/brand/1/csg/1/fhir/r4

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.

• Drmsh Corp

  • Neurology Physician
  • Los Angeles, CA
  • NPI 1740807213
  Medicare reassignment NPD Authorized official
• Mishel Farasatpour MD Inc

  • Neurology Physician
  • Los Angeles, CA
  • NPI 1750962981
  NPD
• Neurological Institute of Los Angeles

  • Neurology Physician
  • Beverly Hills, CA
  • NPI 1659849040
  NPD

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

• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • West Hollywood, CA
  • NPI 1891940326
  Care Compare affiliation
• Physicians Favorite Home Health

  • Home Health Agency
  • Woodland Hills, CA
  • NPI 1407457260
  Care Compare affiliation

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1184021040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10966 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642115",
            "telephone_number": "310-422-6111",
            "fax_number": "310-861-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10966 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642115",
            "telephone_number": "310-422-6111",
            "fax_number": "310-861-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDIZADEH",
        "first_name": "MOSHE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-20",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A139684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A139684",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMMY",
            "last_name": "HENDIZADEH",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tammy Henderson
• Tayler Henderson
• Theresa C Henderson, MD
• Yvonne Henderson
• Gregory W Hendey, MD
• David Peter Hendleman, M.D.
• Breanna Hendricks
• Brooke Emily Hendricks, MA, CCC-SLP
• Cheryl Hendricks, MD
• Tiyania Monica Hendricks

• Neurology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.