NPIMap

Individual provider Active NPI

Ayad M Gharghoury, M.D.

  • Pulmonary Disease Physician
  • Yucca Valley, CA
National Provider Identifier
1497858906
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A50604 Issued in CA
Practice address
58383 29 Palms Hwy
Suite # 100
Yucca Valley, CA 92284-5805
Phone
(760) 228-5864
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A50604 CA Primary

Addresses

Primary practice location

58383 29 Palms Hwy
Suite # 100
Yucca Valley, CA 92284-5805

Mailing address

58383 29 Palms Hwy
Suite # 100
Yucca Valley, CA 92284-5805
Phone (760) 228-5864

Other identifiers 1

IdentifierTypeStateIssuer
00A506042MedicaidCA

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
I20080201000193 CA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7517049398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Ayad M Gharghoury MD IncGroup PAC ID 1456596014, 2 clinicians

Practice addresses (Care Compare)

555 E Tachevah Dr
2W107
Palm Springs, CA 92262-5743
Phone (760) 325-8647

58383 29 Palms Hwy
Suite 100
Yucca Valley, CA 92284

Hospital & facility affiliations

  • Suncrest Healthcare Home health agency, Palm Desert, CA, CCN 757159
  • Mission Hospice Services of Rancho Mirage, LLC Hospice, Rancho Mirage, CA, CCN A01615
  • Mission Hospice Services of San Diego LLC Hospice, San Diego, CA, CCN 551652
  • Hi-Desert Medical Center Hospital, Joshua Tree, CA, CCN 050279
  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Merit-based Incentive Payment System (MIPS)

Final score
95.22 of 100Reported as individual
Quality
92.82
Improvement activities
40
Cost
70.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50604CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Jun 6, 2008 Accepting new patients
Ayad M Gharghoury MD Inc CurrentSince Apr 30, 1992 Accepting new patients
Hi-Desert Medical Center Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

555 E Tachevah Dr
Ste 2W107
Palm Springs, CA 92262
Phone (760) 320-2600

58383 29 Palms Hwy
Ste 100
Yucca Valley, CA 92284
Phone (760) 228-5864

57407 29 Palms Hwy
Yucca Valley, CA 92284

57407 29 Palms Hwy
Ste G
Yucca Valley, CA 92284

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
GentivaPalm Desert, CA, CCN 051716 Hospice Contracted Managing Employee May 21, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1497858906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58383 29 PALMS HWY",
            "address_2": "SUITE # 100",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845805",
            "telephone_number": "760-228-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58383 29 PALMS HWY",
            "address_2": "SUITE # 100",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845805",
            "telephone_number": "760-228-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARGHOURY",
        "first_name": "AYAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A50604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A506042",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

Verify at the official NPI Registry.