NPIMap

Individual provider Active NPI

Rasoul Mokabberi, MD

  • Cardiovascular Disease Physician
  • Danville, PA
National Provider Identifier
1578615480
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD 435510 Issued in PA
Practice address
100 N Academy Ave
Geisinger Medical Center
Danville, PA 17822-9800
Phone
(216) 269-2654
Fax
(570) 271-1702
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35089082 OH
Cardiovascular Disease Physician 207RC0000X A 95258 CA
Cardiovascular Disease Physician 207RC0000X MD 435510 PA Primary

Addresses

Primary practice location

100 N Academy Ave
Geisinger Medical Center
Danville, PA 17822-9800

Mailing address

100 N Academy Ave
Geisinger Medical Center
Danville, PA 17822-9800
Phone (216) 269-2654

Other identifiers 4

IdentifierTypeStateIssuer
TAX IDENTIFICATIONOtherOH341898545
35089082OtherOHLICENSE
MD 435510OtherPALICENSE
A 95258OtherCALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20120109000064 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac ElectrophysiologyPractitioner - Internal Medicine 8729180294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology, Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mokabberi MD IncGroup PAC ID 8820336365, 3 clinicians

Practice addresses (Care Compare)

1140 W la Veta Ave
Suite 400
Orange, CA 92868-4226
Phone (949) 774-7777

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069
  • Orange County Global Medical Center Hospital, Santa Ana, CA, CCN 050746
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567

Merit-based Incentive Payment System (MIPS)

Final score
91.03 of 100Reported as individual
Quality
85.93
Improvement activities
40
Cost
74.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 435510PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur Selvan, MD; Inc. Cardiovascular Disease CurrentSince Jan 10, 2019 Accepting new patients
Cardiac Monitoring Services, LLC CurrentSince Sep 6, 2023 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Meridia Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

1200 N Tustin Ave
Ste 260
Santa Ana, CA 92705
Phone (714) 543-9855

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rasoul.mokabberi.1@20405.direct.athenahealth.com

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 8

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1578615480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "address_2": "GEISINGER MEDICAL CENTER",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "216-269-2654",
            "fax_number": "570-271-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "address_2": "GEISINGER MEDICAL CENTER",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "216-269-2654",
            "fax_number": "570-271-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKABBERI",
        "first_name": "RASOUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35089082",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A 95258",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD 435510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "341898545",
            "identifier": "TAX IDENTIFICATION",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35089082",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD 435510",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A 95258",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Baldwin Park Blvd",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.