NPIMap

Individual provider Active NPI

Mahnaz Behboodikhah, MD

  • Clinical Cardiac Electrophysiology Physician
  • Newport Beach, CA
National Provider Identifier
1225061591
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
G62261 Issued in CA
Practice address
500 Superior Ave Ste 345
Newport Beach, CA 92663-3680
Phone
(949) 646-1877
Fax
(949) 642-8622
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X G62261 CA Primary

Addresses

Primary practice location

500 Superior Ave Ste 345
Newport Beach, CA 92663-3680

Mailing address

PO Box 15701
Newport Beach, CA 92659-5701
Phone (949) 646-1877

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
I20070223000180 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 7315049293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
State University of Ny Upstate Medical University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

500 Superior Ave
Suite 345
Newport Beach, CA 92663-3680
Phone (949) 646-1877

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
70.14 of 100Reported as individual
Quality
50.96
Improvement activities
40
Cost
65.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Nuclear, Inc. CurrentSince Nov 28, 2022 Accepting new patients
Pacific Cardiovascular Associates Medical Group, Inc. Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 1

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1225061591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15701",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926595701",
            "telephone_number": "949-646-1877",
            "fax_number": "949-642-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE STE 345",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633680",
            "telephone_number": "949-646-1877",
            "fax_number": "949-642-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHBOODIKHAH",
        "first_name": "MAHNAZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "G62261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.