Individual provider Active NPI

Reza Khoshini, MD

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1184772014
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A77202 Issued in CA
Practice address
8008 Frost St
Suite 200
San Diego, CA 92123-4205
Phone
(858) 292-7527
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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 A77202 CA
Internal Medicine Physician 207R00000X A77202 CA Primary

Addresses

Primary practice location

8008 Frost St
Suite 200
San Diego, CA 92123-4205

Mailing address

8008 Frost St
Suite 200
San Diego, CA 92123-4205
Phone (858) 292-7527

Other practice location 1

15611 Pomerado Rd Ste 500
Poway, CA 92064-2438
Phone (858) 487-2121

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
I20041208000968 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 3173589306 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
R Franklin University of Med & Sci/Chicago Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

8008 Frost St
Suite 200
San Diego, CA 92123-4207
Phone (858) 292-7527

Hospital & facility affiliations

  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
  • Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as individual
Quality
92.52
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy220
Upper gastrointestinal (GI) endoscopy for acid reflux210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77202CAMDAmbulatory Care Pharmacist
A77202CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Digestive Disease Consultants, Inc. a Medical Group Gastroenterology CurrentSince Aug 1, 2009 Accepting new patients
Emergency Associates Corporation CurrentSince Dec 24, 2016 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Aug 10, 2009 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

765 Medical Center Ct
Ste 216
Chula Vista, CA 91911
Phone (619) 421-1111

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

15611 Pomerado Rd
Ste 500
Poway, CA 92064
Phone (858) 487-2121

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

8008 Frost St
Ste 200
San Diego, CA 92123
Phone (858) 292-7527

Interoperability endpoints

  • Direct secure messaging: rkhoshini22258@sharphealthcare.direct-ci.com

Organizations & group practices 4

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 6

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1184772014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 FROST ST",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234205",
            "telephone_number": "858-292-7527",
            "fax_number": "858-292-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 FROST ST",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234205",
            "telephone_number": "858-292-7527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15611 Pomerado Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642438",
            "country_code": "US",
            "telephone_number": "858-487-2121",
            "fax_number": "858-487-3321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOSHINI",
        "first_name": "REZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A77202",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A77202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.