NPIMap

Individual provider Active NPI

Ramtin Agah, M.D.

  • Specialist
  • Mountain View, CA
National Provider Identifier
1255326310
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A60397 Issued in CA
Practice address
2490 Hospital Dr
Suite 311
Mountain View, CA 94040
Phone
(650) 962-4690
Fax
(650) 962-4696
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A603971 CA
Interventional Cardiology Physician 207RI0011X A60397 CA
Specialist 174400000X A60397 CA Primary

Addresses

Primary practice location

2490 Hospital Dr
Suite 311
Mountain View, CA 94040

Mailing address

2490 Hospital Dr
Suite 311
Mountain View, CA 94040
Phone (650) 962-4690

Other practice location 1

625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-3400

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
I20050802000837 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9234182528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Texas Southwestern Medical School at Dallas, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agah Medical PCGroup PAC ID 9537695002, 2 clinicians

Practice addresses (Care Compare)

2495 Hospital Dr
Suite 550
Mountain View, CA 94040-4186
Phone (650) 770-2424

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Merit-based Incentive Payment System (MIPS)

Final score
92.53 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A603971CAMDCardiovascular Disease Physician
A60397CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agah Medical PC Cardiovascular Disease CurrentSince Nov 18, 2024 Accepting new patients
Advanced Cardiovascular Specialists Inc Specialist CurrentSince Sep 7, 2005 Accepting new patients
University of Utah Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients
El Camino Hospital Past Accepting new patients

Locations

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500

2495 Hospital Dr
Ste 550
Mountain View, CA 94040
Phone (650) 770-2424

2490 Hospital Dr
Ste 311
Mountain View, CA 94040
Phone (650) 962-4690

2500 Grant Rd
#240
Mountain View, CA 94040
Phone (650) 988-7903

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ragah6855@icare.elcaminohospital.org

Organizations & group practices 6

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 10

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1255326310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR",
            "address_2": "SUITE 311",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "94040",
            "telephone_number": "650-962-4690",
            "fax_number": "650-962-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR",
            "address_2": "SUITE 311",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "94040",
            "telephone_number": "650-962-4690",
            "fax_number": "650-962-4696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951263785",
            "country_code": "US",
            "telephone_number": "408-871-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGAH",
        "first_name": "RAMTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A603971",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A60397",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A60397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.