Active NPI
Hamid Modarres Mousavi Behbahani
- Internal Medicine Physician
- Richmond Hill, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A174051
- Practice address
- 8900 Van Wyck Expy
Richmond Hill, NY 11418-2832 - Phone
- (718) 206-6000
- NPI assigned
- May 9, 2018
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A174051 | CA | Primary |
Addresses
Primary practice location
8900 Van Wyck Expy
Richmond Hill, NY 11418-2832
Mailing address
8900 Van Wyck Expy
Richmond Hill, NY 11418-2832
Phone (718) 206-6000
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 Linden Ave
Long Beach, CA 90813-3321
Phone (562) 491-9000
Hospital & facility affiliations
- St Mary Medical Center
- Memorialcare Long Beach Medical Center
- St Mary Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A174051 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Specialists of California, PC | Internal Medicine | Current | Accepting new patients |
| Prohealth Partners a Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Prohealth Partners, a Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Prohealth Partners, a Medical Group | Internal Medicine | Current | Accepting new patients |
| Socal Hospitalists | Internal Medicine | Current | Accepting new patients |
| Friendly Care Medical Group Inc | Internal Medicine | Past | Accepting new patients |
Locations
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000
3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546
File 54567
Los Angeles, CA 90074
Phone (310) 491-9060
21163 Newport Coast Dr
Newport Coast, CA 92657
Phone (800) 578-5145
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
4201 Torrance Blvd
Ste 350
Torrance, CA 90503
Phone (310) 540-5494
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- hmodarresmousavibehbahani715518@direct.memorialcare.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.
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1003949975
-
- Internal Medicine Physician
- Newport Coast, CA
- NPI 1891520318
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Internal Medicine Physician
- Pomona, CA
- NPI 1487903399
-
- Internal Medicine Physician
- Pico Rivera, CA
- NPI 1912899394
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1538227608
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1285123778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 VAN WYCK EXPY",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114182832",
"telephone_number": "718-206-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 VAN WYCK EXPY",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114182832",
"telephone_number": "718-206-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODARRES MOUSAVI BEHBAHANI",
"first_name": "HAMID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-09",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A174051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.