Individual provider Active NPI

Indermohan Singh Luthra, M.D.

  • Neurology Physician
  • Rancho Mirage, CA
National Provider Identifier
1598795668
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A50564 Issued in CA
Practice address
35400 Bob Hope Dr Ste 113
Rancho Mirage, CA 92270-1772
Phone
(760) 328-7500
Fax
(760) 328-0044
NPI assigned
Jul 4, 2006
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A50564 CA Primary

Addresses

Primary practice location

35400 Bob Hope Dr Ste 113
Rancho Mirage, CA 92270-1772

Mailing address

35400 Bob Hope Dr Ste 113
Rancho Mirage, CA 92270-1772
Phone (760) 328-7500

Other identifiers 1

IdentifierTypeStateIssuer
00-A505640MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100311000989 CA Practitioner - Neurology 5597890822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35400 Bob Hope Dr
Rancho Mirage, CA 92270-1708

35400 Bob Hope Dr
Suite 113
Rancho Mirage, CA 92270-1772
Phone (760) 328-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60 of 100Reported as individual
Quality
100
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50564CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indermohan S Luthra MD Inc a Professional Corporation Specialist CurrentSince Aug 15, 2010 Accepting new patients
Eisenhower Medical Center Single Specialty Past Accepting new patients
My Family Clinic, Inc. Single Specialty PastSince Oct 25, 2015 Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
Diagnostic Imaging Services Single Specialty Past Accepting new patients

Locations

35400 Bob Hope Dr
Ste 113
Rancho Mirage, CA 92270
Phone (760) 328-7500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1598795668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR STE 113",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701772",
            "telephone_number": "760-328-7500",
            "fax_number": "760-328-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR STE 113",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701772",
            "telephone_number": "760-328-7500",
            "fax_number": "760-328-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHRA",
        "first_name": "INDERMOHAN",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A50564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00-A505640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.