Individual provider Active NPI

Gholam R Zadeii, M.D.

  • Hospitalist Physician
  • Rancho Mirage, CA
National Provider Identifier
1407844608
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
C140338 Issued in CA
Practice address
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone
(760) 837-8905
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X C140338 CA Primary
Cardiovascular Disease Physician 207RC0000X C140338 CA

Addresses

Primary practice location

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221

Mailing address

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 837-8905

Other identifiers 2

IdentifierTypeStateIssuer
0295865MedicaidIA
C140338OtherCACA LICENSE

Other names 1

  • Dr. Gino R Zadeii Other name

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
I20160226001228 CA Practitioner - Internal MedicinePractitioner - Hospitalist 0941237796 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fountain Valley Group Services PCGroup PAC ID 9931427382, 16 clinicians
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians

Practice addresses (Care Compare)

47111 Monroe St
Indio, CA 92201-6739
Phone (760) 347-6191

58457 29 Palms Hwy
Suite 200
Yucca Valley, CA 92284-5879
Phone (760) 228-1813

Hospital & facility affiliations

  • Hi-Desert Medical Center Hospital, Joshua Tree, CA, CCN 050279
  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
  • John F Kennedy Memorial Hospital Hospital, Indio, CA, CCN 050534
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Merit-based Incentive Payment System (MIPS)

Final score
92.99 of 100Reported as individual
Quality
72.3
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140338CAMDMarriage & Family Therapist
C140338CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Cardiovascular Disease CurrentSince Nov 1, 2016 Accepting new patients
First Choice Physician Partners CurrentSince Nov 1, 2016 Accepting new patients
Desert Group Services, PC Hospitalist CurrentSince Nov 15, 2024 Accepting new patients
Fountain Valley Group Services PC Hospitalist CurrentSince Mar 1, 2017 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Reza Vafadouste MD a Medical Corporation Cardiovascular Disease Past Accepting new patients
Fountain Valley Group Services PC Past Accepting new patients
First Choice Physician Partners Cardiovascular Disease Past Accepting new patients
Desert Heart Physicians Medical Group, Inc. Cardiovascular Disease Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

6722 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

850 W Olive Ave
#A
Merced, CA 95348
Phone (209) 384-1777

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

1180 N Indian Canyon Dr
Ste E205
Palm Springs, CA 92262
Phone (760) 325-1202

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

39000 Bob Hope Dr
#1112
Rancho Mirage, CA 92270
Phone (760) 773-1251

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

2141 Colorado Ave
Turlock, CA 95382
Phone (209) 634-2600

58457 29 Palms Hwy
Ste 200
Yucca Valley, CA 92284
Phone (760) 228-1813

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: gholam.zadeii.1@14035.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1407844608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-837-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-837-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADEII",
        "first_name": "GHOLAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C140338",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C140338",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295865",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "C140338",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINO",
            "last_name": "ZADEII",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.