Individual provider Active NPI

Manzoor A Kazi, M.D.

  • Internal Medicine Physician
  • Palm Desert, CA
National Provider Identifier
1225032212
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00A641060 Issued in CA
Practice address
72757 Fred Waring Dr Ste 1
Palm Desert, CA 92260-9404
Phone
(760) 340-5800
Fax
(760) 340-5700
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00A641060 CA Primary

Addresses

Primary practice location

72757 Fred Waring Dr Ste 1
Palm Desert, CA 92260-9404

Mailing address

PO Box 1118
Palm Desert, CA 92261-1118
Phone (760) 340-5800

Other identifiers 1

IdentifierTypeStateIssuer
00A641060MedicaidCA

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
I20040524001424 CA Practitioner - Internal Medicine 4486645777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

72757 Fred Waring Dr
Suite 1
Palm Desert, CA 92260-9404
Phone 7603405800107

Hospital & facility affiliations

  • Care Dimensions of the Desert Home health agency, Palm Desert, CA, CCN 059697
  • Amazing Health Home Care Inc Home health agency, Palm Desert, CA, CCN 559526
  • Suncrest Home Health Services Inc Home health agency, Chino, CA, CCN 059259
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as apm
Quality
74
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth12
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046893NYMDPharmacist
00A641060CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manzoor Kazi Medical Associates Inc Internal Medicine CurrentSince Aug 21, 2024 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients

Locations

73345 Highway 111
Ste 101
Palm Desert, CA 92260
Phone (760) 340-5800

72757 Fred Waring Dr
Ste 1
Palm Desert, CA 92260
Phone (760) 340-5800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: manzoor.kazi@1001278518657028.direct.elationemr.com

Organizations & group practices 5

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1225032212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922611118",
            "telephone_number": "760-340-5800",
            "fax_number": "760-340-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72757 FRED WARING DR STE 1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609404",
            "telephone_number": "760-340-5800",
            "fax_number": "760-340-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZI",
        "first_name": "MANZOOR",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A641060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A641060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.