NPIMap

Individual provider Active NPI

Mohinderpal S Thaper, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Poway, CA
National Provider Identifier
1295795037
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A106869 Issued in CA
Practice address
15611 Pomerado Rd Ste 400
Poway, CA 92064-2437
Phone
(858) 385-1419
NPI assigned
Mar 24, 2006
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A106869 CA Primary

Addresses

Primary practice location

15611 Pomerado Rd Ste 400
Poway, CA 92064-2437

Mailing address

15611 Pomerado Rd Ste 400
Poway, CA 92064-2437

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
I20090427000576 CA Practitioner - Internal Medicine 3971520354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
23.25 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
77.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North County Geriatrics Geriatric Medicine CurrentSince May 1, 2023 Accepting new patients
Arch Health Partners, Inc CurrentSince Apr 1, 2013 Accepting new patients
Banner Estrella Medical Center Past Accepting new patients
Palomar Health Past Accepting new patients
Adam Internal Medicine PLLC Past Accepting new patients
Acclaimed Internal Medicine PLLC Past Accepting new patients
Senior Medical Associates, Inc. Geriatric Medicine Past Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

15611 Pomerado Rd
Ste 525
Poway, CA 92064
Phone (619) 287-9334

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

12396 World Trade Dr
Ste 106
San Diego, CA 92128
Phone (858) 385-1419

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Poway Healthcare CenterPoway, CA, CCN 555136 Skilled nursing facility Contracted Managing Employee Nov 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1295795037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15611 POMERADO RD STE 400",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15611 POMERADO RD STE 400",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642437",
            "telephone_number": "858-385-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAPER",
        "first_name": "MOHINDERPAL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A106869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.