Individual provider Active NPI

Homan Abdollahzadeh, MD

  • Gastroenterology Physician
  • Palm Springs, CA
National Provider Identifier
1184634826
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A60802 Issued in CA
Practice address
1330 N Indian Canyon Dr
Suite F
Palm Springs, CA 92262-4880
Phone
(760) 864-4163
Fax
(760) 864-4166
NPI assigned
Aug 8, 2006
Last updated
Nov 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A60802 CA Primary
Hepatology Physician 207RI0008X A60802 CA

Addresses

Primary practice location

1330 N Indian Canyon Dr
Suite F
Palm Springs, CA 92262-4880

Mailing address

1330 N Indian Canyon Dr
Suite F
Palm Springs, CA 92262-4880
Phone (760) 864-4163

Other identifiers 1

IdentifierTypeStateIssuer
00A608020MedicaidCA

Other names 1

  • Homan A Zadeh Other name

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
I20061108000507 CA Practitioner - Gastroenterology 1951308782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Homan a Zadeh MD MPH IncGroup PAC ID 8426189507, 11 clinicians

Practice addresses (Care Compare)

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

1330 N Indian Canyon Dr
Suite F
Palm Springs, CA 92262-4880
Phone (760) 864-4163

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
56.38
Improvement activities
40
Cost
82.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy227
Upper gastrointestinal (GI) endoscopy for acid reflux200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60802CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Mar 19, 2009 Accepting new patients
Homan a. Zadeh, M.D., M.P.H., Inc. Gastroenterology CurrentSince Mar 23, 2010 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Koushan Siami M.D., Apc Past Accepting new patients
Hi-Desert Medical Center Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
WCHS, Inc Past Accepting new patients

Locations

6601 White Feather Rd
#A4
Joshua Tree, CA 92252
Phone (760) 366-3711

47120 Dune Palms Rd
Ste 109
La Quinta, CA 92253
Phone (760) 864-4163

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1330 N Indian Canyon Dr
Ste F
Palm Springs, CA 92262
Phone (760) 327-9402

1401 N Palm Canyon Dr
Ste 202
Palm Springs, CA 92262
Phone (760) 837-8366

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: haz103pcs@m1675.primeclinicalsystems.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1184634826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 N INDIAN CANYON DR",
            "address_2": "SUITE F",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624880",
            "telephone_number": "760-864-4163",
            "fax_number": "760-864-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N INDIAN CANYON DR",
            "address_2": "SUITE F",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624880",
            "telephone_number": "760-864-4163",
            "fax_number": "760-864-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDOLLAHZADEH",
        "first_name": "HOMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A60802",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "CA",
            "license": "A60802",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A608020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOMAN",
            "last_name": "ZADEH",
            "middle_name": "A",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.