Individual provider Active NPI

Mehra Hosseini, M.D.

  • Gastroenterology Physician
  • Berkeley, CA
National Provider Identifier
1205947884
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G79483 Issued in CA
Practice address
2510 Webster St
Berkeley, CA 94705-2557
Phone
(510) 548-6555
Fax
(510) 548-3761
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G79483 CA Primary

Addresses

Primary practice location

2510 Webster St
Berkeley, CA 94705-2557

Mailing address

2510 Webster St
Berkeley, CA 94705-2557
Phone (510) 548-6555

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
I20080225000298 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 9739141375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
New York Medical College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

365 Lennon LN
Walnut Creek, CA 94598-5912

Hospital & facility affiliations

  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy342
Upper gastrointestinal (GI) endoscopy for acid reflux228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G79483CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Specialist CurrentSince Apr 1, 2019 Accepting new patients
Bass Medical Group Current Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Bass Medical Group CurrentSince Apr 1, 2019 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Feb 16, 2016 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Alameda Health System Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
John Muir Health Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Northern California Gastroenterology Consultants, Inc. Gastroenterology PastSince Jan 1, 2008 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

2363 Mariner Square Dr
Ste 155
Alameda, CA 94501
Phone (510) 548-6555

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2510 Webster St
Ste 425
Berkeley, CA 94705
Phone (510) 548-6555

2510 Webster St
Berkeley, CA 94705
Phone (510) 548-6555

6600 Lone Tree Way
Brentwood, CA 94513
Phone (925) 471-4223

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

365 Lennon Ln
Ste 230
Walnut Creek, CA 94598
Phone (925) 943-4900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mhosseini17822@ehr.johnmuirhealth.com

Organizations & group practices 12

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 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1205947884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WEBSTER ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052557",
            "telephone_number": "510-548-6555",
            "fax_number": "510-548-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WEBSTER ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052557",
            "telephone_number": "510-548-6555",
            "fax_number": "510-548-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSEINI",
        "first_name": "MEHRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G79483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.