NPIMap

Individual provider Active NPI

Athar Masood Ansari, M.D.

  • Interventional Cardiology Physician
  • El Centro, CA
National Provider Identifier
1477612877
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A50706 Issued in CA
Practice address
790 W Orange Ave
Ste. B
El Centro, CA 92243-3274
Phone
(760) 353-3222
NPI assigned
Dec 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A50706 CA Primary

Addresses

Primary practice location

790 W Orange Ave
Ste. B
El Centro, CA 92243-3274

Mailing address

PO Box 2575
Alpine, CA 91903-2575
Phone (760) 484-3937

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
I20080410000809 CA Practitioner - Cardiovascular Disease (Cardiology) 6507943800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Athar M. Ansari M D Inc.Group PAC ID 8123192671, 2 clinicians

Practice addresses (Care Compare)

790 W Orange Ave
Suite B
El Centro, CA 92243-3274
Phone (760) 353-3222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.45 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Leg revascularization (restoring blood flow)53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50706CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Heart and Vascular Clinic LLC CurrentSince Oct 6, 2024 Accepting new patients
Athar M. Ansari M D Inc. CurrentSince May 14, 1996 Accepting new patients
Scripps Health Current Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Pioneers Memorial Healthcare District Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
El Centro Regional Medical Center Past Accepting new patients

Locations

790 W Orange Ave
Ste B
El Centro, CA 92243
Phone (760) 353-0404

Interoperability endpoints

  • Direct secure messaging: aansari31661@scrippshlth.medalliesdirect.net

Organizations & group practices 9

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477612877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2575",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919032575",
            "telephone_number": "760-484-3937",
            "fax_number": "760-353-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 W ORANGE AVE",
            "address_2": "STE. B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433274",
            "telephone_number": "760-353-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "ATHAR",
        "middle_name": "MASOOD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A50706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.