NPIMap

Individual provider Active NPI

Meelad Mohammadi, M.D

  • Internal Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1215303482
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125066157 Issued in IL
Practice address
555 E Tachevah Dr Ste 2E107
Palm Springs, CA 92262-5752
Phone
(760) 561-7373
Fax
(760) 327-5140
NPI assigned
Aug 11, 2015
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A155021 CA
Internal Medicine Physician 207R00000X 125066157 IL Primary

Addresses

Primary practice location

555 E Tachevah Dr Ste 2E107
Palm Springs, CA 92262-5752

Mailing address

4646 N Marine Dr
Chicago, IL 60640-5759
Phone (773) 564-5822

Other practice location 1

4646 N Marine Dr Ste A-4600
Chicago, IL 60640-5759
Phone (773) 564-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618002603 CA Practitioner - Internal Medicine 6507166576 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sycamore Hill Hospitalist Medical Group IncGroup PAC ID 1951646249, 16 clinicians
Superior Hospitalist Medical Group IncGroup PAC ID 1456650928, 75 clinicians
Desert Group Services PCGroup PAC ID 6507145034, 6 clinicians
White Feather Physicians PCGroup PAC ID 8628496171, 4 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone (213) 413-3000

1680 E 120TH St
Los Angeles, CA 90059-3026
Phone (424) 338-8000

6601 White Feather Rd
Joshua Tree, CA 92252-6607
Phone (760) 366-3711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.47
Improvement activities
40
Cost
80.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155021CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Valley Group Services PC CurrentSince Apr 15, 2022 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
First Choice Physician Partners Internal Medicine CurrentSince Aug 23, 2023 Accepting new patients
Sycamore Hill Hospitalist Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
Superior Hospitalist Medical Group Inc Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Meelad Mohammadi MD Inc Internal Medicine Current Accepting new patients
First Choice Physician Partners CurrentSince Aug 23, 2023 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Fountain Valley Group Services PC Past Accepting new patients
VHS Acquisition Subsidiary Number 3 Inc Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

6722 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

1100 N Palm Canyon Dr
Ste 109
Palm Springs, CA 92262
Phone (760) 992-7152

555 E Tachevah Dr
Ste 2E107
Palm Springs, CA 92262
Phone (760) 561-7373

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hi-Desert Medical CenterJoshua Tree, CA, CCN 555443 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2024
Feb 18, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • HDMC Holdings, LLC

    dba Hi-Desert Continuing Care Center

    • Skilled Nursing Facility
    • Joshua Tree, CA
    • NPI 1639565088

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 13

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.

View all 13

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1215303482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "773-564-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR STE 2E107",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625752",
            "telephone_number": "760-561-7373",
            "fax_number": "760-327-5140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4646 N Marine Dr Ste A-4600",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405759",
            "country_code": "US",
            "telephone_number": "773-564-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMADI",
        "first_name": "MEELAD",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2024-01-10",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A155021",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125066157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.