Individual provider Active NPI

Nayef Mohammed a. Kazzaz, M.D

  • Rheumatology Physician
  • Riverside, CA
National Provider Identifier
1316234693
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
51325 Issued in KY
Practice address
6180 Brockton Ave Ste 204
Riverside, CA 92506-2233
Phone
(951) 781-7700
Fax
(951) 781-0313
NPI assigned
Jul 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51325 KY
Rheumatology Physician 207RR0500X 51325 KY Primary

Addresses

Primary practice location

6180 Brockton Ave Ste 204
Riverside, CA 92506-2233

Mailing address

6180 Brockton Ave Ste 204
Riverside, CA 92506-2233
Phone (951) 781-7700

Other practice location 1

135 E Maxwell St Ste 401
Lexington, KY 40508-2617
Phone (859) 323-6700

Other practice location 2

4244 Riverwalk Pkwy Ste 204
Riverside, CA 92505-3372
Phone (951) 781-7700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218002433 CA Practitioner - Rheumatology 3678880747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis Medical ClinicGroup PAC ID 7810969987, 4 clinicians

Practice addresses (Care Compare)

6180 Brockton Ave
Suite 204
Riverside, CA 92506-2233
Phone (951) 781-7700

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
87.24
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Confermed of California PC Internal Medicine CurrentSince Apr 12, 2024 Accepting new patients
Arthritis Medical Clinic CurrentSince Feb 8, 2021 Accepting new patients
Confermed PC Internal Medicine Past Accepting new patients
University of Kentucky Past Accepting new patients

Locations

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

4244 Riverwalk Pkwy
Ste 220
Riverside, CA 92505
Phone (951) 781-7700

6180 Brockton Ave
Ste 204
Riverside, CA 92506
Phone (909) 684-6784

11 Silver St
Unit 856
Middletown, CT 06457

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1316234693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 BROCKTON AVE STE 204",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062233",
            "telephone_number": "951-781-7700",
            "fax_number": "951-781-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 BROCKTON AVE STE 204",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062233",
            "telephone_number": "951-781-7700",
            "fax_number": "951-781-0313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 E Maxwell St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405082617",
            "country_code": "US",
            "telephone_number": "859-323-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4244 Riverwalk Pkwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925053372",
            "country_code": "US",
            "telephone_number": "951-781-7700",
            "fax_number": "951-781-0313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAZZAZ",
        "first_name": "NAYEF",
        "middle_name": "MOHAMMED A.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "51325",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "51325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.