Raef Mounir Elsanadi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A53042 Issued in CA

Practice address

333 Corporate Dr Ste 210
Ladera Ranch, CA 92694-2179

Phone

(949) 364-3582

Fax

(949) 364-1472

NPI assigned

Oct 14, 2006

Last updated

Jan 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Raef M Elsanadi MD Inc a Professional CorporationGroup PAC ID 7618933037, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Genezen Home Health Care Services, Inc Home health agency, Mission Viejo, CA, CCN 559045
• Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
• Comfort Hospice, Inc Hospice, San Marino, CA, CCN 921574
• Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: raefelsanadi@elsanandimd.ssdirect.aprima.com

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.

• Raef M Elsanadi MD Inc a Professional Corporation

  • Internal Medicine Physician
  • Mission Viejo, CA
  • NPI 1053482752
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Comfort Hospice Inc

  • Community Based Hospice Care Agency
  • Burbank, CA
  • NPI 1033528898
  Care Compare affiliation
• Genezen Home Health Care Services Inc

  • Home Health Agency
  • Mission Viejo, CA
  • NPI 1073974911
  Care Compare affiliation
• Hoag Home Health LLC

  • Home Health Agency
  • Newport Beach, CA
  • NPI 1174192892
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  dba Providence Mission Hospital

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1912108002
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  dba Mission Hospital

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1992752315
  Care Compare affiliation

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1487744819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CORPORATE DR STE 210",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942179",
            "telephone_number": "949-364-3582",
            "fax_number": "949-364-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CORPORATE DR STE 210",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942179",
            "telephone_number": "949-364-3582",
            "fax_number": "949-364-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSANADI",
        "first_name": "RAEF",
        "middle_name": "MOUNIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Soheyla Marzvaan PC
• Tara Elizabeth Edwards, LMFT
• Elham Ehteshami-Hunt, MFT
• Mohamed El-Menshawi, MD
• Elizabeth V. Lener, M.D., Inc. (The Dermatology Center at Ladera)
• Empower Physical Therapy & Aquatics Institute
• Todd Blair Engel, DDS
• Todd Engles
• Pejman Eskandani
• Trent David Etter

• Internal Medicine Physician in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.