Mohamed Samir Abu-Qaoud, M.D.
Individual provider Active NPI Internal Medicine Physician · Moreno Valley, CA
NPI 1366635534 · NPPES record last updated Jul 7, 2010
Key facts
- NPI
- 1366635534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A107737 (CA)
- Practice address
- 26520 Cactus Ave
Rcrmc, Department of Internal Medicine
Moreno Valley, CA 92555-3927 - Phone
- (951) 486-4640
- NPI assigned
- Aug 21, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sharp Rees-Stealy Medical Group Inc
Practice addresses (Care Compare)
1400 E Palomar St
Chula Vista, CA 91913-1800
Phone (858) 499-2600
Hospital & facility affiliations
- Sharp Chula Vista Medical Center
- Sharp Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
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
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101119000975 | CA | Practitioner - Internal Medicine | 0345436044 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A107737 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current |
Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current |
Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Family Medicine | Current |
Accepting new patients |
| Sharp Rees-Stealy Medical Center | Past | Accepting new patients | |
| Sharp Chula Vista Medical Center | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients |
Locations
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
1400 E Palomar St
Chula Vista, CA 91913
Phone (619) 397-3077
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
5651 Copley Dr
Ste A
San Diego, CA 92111
Phone (858) 262-6109
2929 Health Center Dr
San Diego, CA 92123
Phone (858) 939-6531
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
Interoperability endpoints
- mabuqaoud32673@sharphealthcare.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A107737 | CA | Yes |
Addresses
Primary practice location
26520 Cactus Ave
Rcrmc, Department of Internal Medicine
Moreno Valley, CA 92555-3927
Mailing address
26520 Cactus Ave
Rcrmc, Department of Internal Medicine
Moreno Valley, CA 92555-3927
Other providers in Moreno Valley, CA
- Able Medical Supply Inc.
- Abounding Grace Care Home, Inc
- Sarah Abrahem
- Ashley Leann Abrams
- Hannah Abrillo
- Maher Abukhader
- Shamjana Acharya
- Achieve Inc.
- Chinyere Joy Achu
- Autumn Roxanne Achugbu
All providers in Moreno Valley, CA · 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 Jul 7, 2010. 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.
- 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.