Mohinderpal S Thaper, MD
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Poway, CA
NPI 1295795037 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1295795037
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- A106869 (CA)
- Practice address
- 15611 Pomerado Rd Ste 400
Poway, CA 92064-2437 - Phone
- (858) 385-1419
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arch Health Partners Inc
Practice addresses (Care Compare)
15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100
2125 Citracado Pkwy
Escondido, CA 92029-4159
Hospital & facility affiliations
- Good Samaritan Home Health Inc
- Palomar Medical Center Poway
- The Villas at Poway
- Poway Healthcare Center
- Casa de Las Campanas
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.25 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 77.51
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Poway Healthcare Center |
Skilled nursing facility | Contracted Managing Employee | Nov 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090427000576 | CA | Practitioner - Internal Medicine | 3971520354 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North County Geriatrics | Geriatric Medicine | Current |
Accepting new patients |
| Arch Health Partners, Inc | Current |
Accepting new patients | |
| Adam Internal Medicine PLLC | Past | Accepting new patients | |
| Banner Estrella Medical Center | Past | Accepting new patients | |
| Senior Medical Associates, Inc. | Geriatric Medicine | Past | Accepting new patients |
| Acclaimed Internal Medicine PLLC | Past | Accepting new patients | |
| Palomar Health | Past | Accepting new patients | |
| Tri-City Hospital | Past | Accepting new patients |
Locations
15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900
15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000
15611 Pomerado Rd
Ste 525
Poway, CA 92064
Phone (619) 287-9334
12396 World Trade Dr
Ste 106
San Diego, CA 92128
Phone (858) 385-1419
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | A106869 | CA | Yes |
Addresses
Primary practice location
15611 Pomerado Rd Ste 400
Poway, CA 92064-2437
Mailing address
15611 Pomerado Rd Ste 400
Poway, CA 92064-2437
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 972689 | Medicaid | AZ |
Other providers in Poway, CA
- Tamara Lynn Teal
- Benjamin Tecotzky
- Kimberly Teran
- Camille Carmen Tewalt
- Tracy Khanh Thang
- The Gore Medical Group Inc.
- Joel Thomas
- Amy Valente Thompson
- Derrick Thompson
- Lloyd Grant Thompson
All providers in Poway, CA · Geriatric Medicine (Internal Medicine) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.