NPIMap

Individual provider Active NPI

Mehmet Cuneyt Demirozu, M.D.

  • Internal Medicine Physician
  • Hawthorne, CA
National Provider Identifier
1295753234
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A52940 Issued in CA
Practice address
4477 W 118TH Street #303
Hawthorne, CA 90250-2258
Phone
(310) 644-9515
Fax
(310) 644-3629
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A52940 CA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A52940 CA
Pulmonary Disease Physician 207RP1001X A52940 CA

Addresses

Primary practice location

4477 W 118TH Street #303
Hawthorne, CA 90250-2258

Mailing address

P.O. Box 641245
Los Angeles, CA 90064-6245
Phone (310) 644-9515

Other identifiers 1

IdentifierTypeStateIssuer
00A529400MedicaidCA

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
I20041216001142 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2860459252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4477 W 118TH St
Suite 303
Hawthorne, CA 90250-2258
Phone (310) 644-9515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mehmet C Demirozu M D Inc Internal Medicine CurrentSince Jan 5, 2004 Accepting new patients
Eladh, LP Past Accepting new patients
St Francis Medical Center Past Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients
St Francis Health LLC Past Accepting new patients
Gardena Hospital LP Past Accepting new patients

Locations

4477 W 118th St
Ste 303
Hawthorne, CA 90250
Phone (310) 644-9515

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1295753234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 641245",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900646245",
            "telephone_number": "310-644-9515",
            "fax_number": "310-644-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W 118TH STREET #303",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502258",
            "telephone_number": "310-644-9515",
            "fax_number": "310-644-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIROZU",
        "first_name": "MEHMET",
        "middle_name": "CUNEYT",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52940",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A52940",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A52940",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A529400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.