Omar Idris Mufti, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

A135620 Issued in CA

Practice address

2425 Sonoma St
Redding, CA 96001-3026

Phone

(530) 241-1144

Fax

(253) 024-1114

NPI assigned

Oct 11, 2006

Sex

Male

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

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Wright State University Boonshoft School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mohamed H Khan MD IncGroup PAC ID 6608815808, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
• Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
• St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042
• Trinity Hospital Hospital, Weaverville, CA, CCN 051315
• Mayers Memorial Hospital Hospital, Fall River Mills, CA, CCN 051305

Merit-based Incentive Payment System (MIPS)

Final score

87.07 of 100Reported as group

Quality

81.77

Improvement activities

40

Cost

74.21

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJDHAA/Endpoint/GJDHAA

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.

• Mohamed H Khan MD Inc

  • Interventional Cardiology Physician
  • Redding, CA
  • NPI 1144262593
  Medicare reassignment Care Compare group NPD

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

• Dignity Health

  • General Acute Care Hospital
  • Red Bluff, CA
  • NPI 1083732853
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  Care Compare affiliation
• Dignity Health

  • Rural Health Clinic/Center
  • Corning, CA
  • NPI 1609246461

  Hospital

  Care Compare affiliation
• Mayers Memorial Hospital District

  • Critical Access Hospital
  • Fall River Mills, CA
  • NPI 1912125667
  Care Compare affiliation
• Mountain Communities Healthcare District

  • Critical Access Hospital
  • Weaverville, CA
  • NPI 1750462271
  Care Compare affiliation
• Prime Healthcare Services - Shasta LLC

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1205089026
  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1235228263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 YELLOWSTONE DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960025173",
            "telephone_number": "530-241-1144",
            "fax_number": "530-241-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SONOMA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013026",
            "telephone_number": "530-241-1144",
            "fax_number": "253-024-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFTI",
        "first_name": "OMAR",
        "middle_name": "IDRIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A135620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Movement Matters P.T.
• James C Mu, M.D.
• Touzhong Mua
• Lauren Mueller, PA-C
• Steven E Mueller, D.C.
• Tiara T Muhr, RN, FNP-BC
• Ibrahim Mulic
• Netanya M Mullen, DO
• Thomas W. Mullen, D.D.S.
• Cynthia Marie Muncy, LVN

• Interventional Cardiology Physician in Redding, CA
• Providers in Redding, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.