Negean Vandordaklou, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301092691 Issued in MI

Practice address

13900 Parkview LN
Apt 203
Southgate, MI 48195-3409

Phone

(310) 658-3213

NPI assigned

Mar 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Emergency Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Emergency Medical Group IncGroup PAC ID 2668376500, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

Merit-based Incentive Payment System (MIPS)

Final score

96.51 of 100Reported as group

Quality

87.09

Improvement activities

40

Cost

78.7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nvandordaklou163798@direct.memorialcare.org

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.

• Columbia Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Long Beach, CA
  • NPI 1871551119
  Medicare reassignment Care Compare group NPD
• Regents of the University of

  dba Emergency Medicine Faculty Group

  • Emergency Medicine Physician
  • Orange, CA
  • NPI 1154379394
  Medicare reassignment NPD
• University of California Irvine

  dba Uci Health

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  NPD (past)

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

• Long Beach Memorial Medical

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1962442012
  Care Compare affiliation

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237507200000",
    "number": "1215178207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 PARKVIEW LN",
            "address_2": "APT 203",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953409",
            "telephone_number": "310-658-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 PARKVIEW LN",
            "address_2": "APT 203",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953409",
            "telephone_number": "310-658-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDORDAKLOU",
        "first_name": "NEGEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301092691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Valla
• Amy Kathleen Van Bonn, LLMSW
• Jill Van Doornik, LLMSW
• Erica Vanburen, MA
• Rachel Vanderbush, LLMSW
• Marsha Vangieson
• Courtney Vanriper
• Sarah Vanrooijen
• Kimberly Varga, LMSW
• Tajana Varner

• Emergency Medicine Physician in Southgate, MI
• Providers in Southgate, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.