NPIMap

Individual provider Active NPI

Mohamed Bidair, M.D.

  • Urology Physician
  • La Mesa, CA
National Provider Identifier
1598758203
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G67528 Issued in CA
Practice address
8881 Fletcher Pkwy Ste 250a
La Mesa, CA 91942-3134
Phone
(619) 229-2626
Fax
(619) 286-5412
NPI assigned
Aug 26, 2005
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G67528 CA Primary

Addresses

Primary practice location

8881 Fletcher Pkwy Ste 250a
La Mesa, CA 91942-3134

Mailing address

8881 Fletcher Pkwy Ste 250a
La Mesa, CA 91942-3134
Phone (619) 229-2626

Other identifiers 1

IdentifierTypeStateIssuer
OOG67528MedicaidCA

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
I20110218000342 CA Practitioner - Urology 2365340692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alvarado-la Mesa Urology Medical Group, Inc.Group PAC ID 8022916352, 2 clinicians

Practice addresses (Care Compare)

8881 Fletcher Pkwy
Suite 250a
La Mesa, CA 91942-3134
Phone (619) 229-2626

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.55 of 100Reported as individual
Quality
61
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G67528CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 1, 2014 Accepting new patients
Scripps Health Current Accepting new patients
Alvarado-la Mesa Urology Medical Group Inc Urology CurrentSince Jan 1, 1997 Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

8881 Fletcher Pkwy
Ste 250
La Mesa, CA 91942
Phone (619) 589-6888

8881 Fletcher Pkwy
Ste 250A
La Mesa, CA 91942
Phone (619) 229-2626

5555 Reservoir Dr
Ste 203
San Diego, CA 92120
Phone (619) 229-3340

5555 Reservoir Dr
Ste 309
San Diego, CA 92120
Phone (619) 229-1995

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Interoperability endpoints

  • Direct secure messaging: mbidair80816@scrippshlth.medalliesdirect.net

Organizations & group practices 6

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 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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1598758203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 250A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-229-2626",
            "fax_number": "619-286-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 250A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-229-2626",
            "fax_number": "619-286-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDAIR",
        "first_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G67528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG67528",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.