Individual provider Active NPI

Omid Yeganeh, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1194143602
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D87396 Issued in MD
Practice address
600 N Wolfe St
Baltimore, MD 21287
Phone
(410) 955-5000
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D87396 MD Primary

Addresses

Primary practice location

600 N Wolfe St
Baltimore, MD 21287

Mailing address

9910 Franklin Square Dr # 2110
Baltimore, MD 21236-4902
Phone (410) 933-6421

Other practice location 1

600 N Wolfe St
Baltimore, MD 21287
Phone (410) 955-5000

Other identifiers 1

IdentifierTypeStateIssuer
D87396OtherMDLICENSE

Other names 1

  • Omid Yeganeh Rikhtehgar Former 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
I20200728003345 CA Practitioner - Diagnostic Radiology 8325331036 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Howard John Simon MD PCGroup PAC ID 1658602263, 36 clinicians

Practice addresses (Care Compare)

101 S San Mateo Dr
201 Simonmed Imaging San Mateo
San Mateo, CA 94401-3843
Phone (650) 343-1655

105 S Dr
Suite 110
Mountain View, CA 94040-4317
Phone (650) 259-3165

1180 Post St
San Francisco, CA 94109-5505
Phone (415) 248-3700

155 N San Vicente Blvd
Simonmed Imaging San Vicente
Beverly Hills, CA 90211-2303
Phone (323) 433-7800

15775 Laguna Canyon Rd
Suite 140
Irvine, CA 92618-3190
Phone (949) 522-8120

225 W Hospitality LN
San Bernardino, CA 92408-3244
Phone (909) 890-5856

24 Pacific GRV
Irvine, CA 92602-1017
Phone (480) 306-6949

24022 Calle de la Plata
Suite 100
Laguna Hills, CA 92653-3627
Phone (949) 330-8996

27601 Kathy CT
Laguna Niguel, CA 92677-6025
Phone (480) 306-6949

325 Sacramento St
San Francisco, CA 94111-3601
Phone (415) 321-4674

455 Hickey Blvd
Suite 200
Daly City, CA 94015-2630
Phone (650) 757-2030

4905 Winterbrook Ave
Omid Yeganeh MD
Dublin, CA 94568-7683
Phone (480) 306-6949

665 Munras Ave
Suite 109
Monterey, CA 93940-3136
Phone (831) 656-9800

8370 Wilshire Blvd
110 Simonmed Imaging Beverly Hills Stand Up
Beverly Hills, CA 90211-2334
Phone (323) 966-0000

Merit-based Incentive Payment System (MIPS)

Final score
85.43 of 100Reported as group
Quality
82.86
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D87396MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Diagnostics of California LLC Diagnostic Radiology Past Accepting new patients
Stephen F. Kitchen MD PC Past Accepting new patients
Daniel J Reichenbach MD PC Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: oyeganeh537215@direct.hopkinsmedicine.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1194143602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR # 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21287",
            "telephone_number": "410-955-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21287",
            "country_code": "US",
            "telephone_number": "410-955-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEGANEH",
        "first_name": "OMID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D87396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D87396",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OMID",
            "last_name": "YEGANEH RIKHTEHGAR",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.