Active NPI
Muffadal Ahmed Taher, M.D.
- Diagnostic Radiology Physician
- Rancho Mirage, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A108439
- Practice address
- 39000 Bob Hope Dr Dept of
Rancho Mirage, CA 92270-3221 - Phone
- (760) 340-3911
- NPI assigned
- Jan 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A108439 | CA | Primary |
Addresses
Primary practice location
39000 Bob Hope Dr Dept of
Rancho Mirage, CA 92270-3221
Mailing address
PO Box 280
Rancho Mirage, CA 92270-0280
Phone (805) 286-3826
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A1084390 | Medicaid | CA | |
| 00A1084390 | Other | CA | BCBS OF CA |
| 1265617807 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120518000428 | CA | Practitioner - Diagnostic Radiology | 9133382781 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York Medical College, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Palm Desert Radiology Medical Group Inc
Practice addresses (Care Compare)
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 773-1251
Hospital & facility affiliations
- Eisenhower Medical Center
- Desert Regional Medical Center
- Palo Verde Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.08 of 100
- Quality
- 81.28
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A108439 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Desert Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Rancho Mirage, CA
- NPI 1124079868
CA, Diagnostic Radiology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1104856095
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1265617807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 280",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922700280",
"telephone_number": "805-286-3826",
"fax_number": "805-221-6843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR DEPT OF",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-340-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAHER",
"first_name": "MUFFADAL",
"middle_name": "AHMED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-02",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A108439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0A1084390",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF CA",
"identifier": "00A1084390",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265617807",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.