Individual provider Active NPI

Pedram Ilbeigi, D.O.

  • Urology Physician
  • Apple Valley, CA
National Provider Identifier
1609827336
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
20A8878 Issued in CA
Practice address
18400 US Highway 18
Suite a
Apple Valley, CA 92307-2306
Phone
(760) 242-3939
NPI assigned
May 15, 2006
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MB07385700 NJ
Urology Physician 208800000X 20A8878 CA Primary

Addresses

Primary practice location

18400 US Highway 18
Suite a
Apple Valley, CA 92307-2306

Mailing address

18400 US Highway 18
Suite a
Apple Valley, CA 92307-2306
Phone (760) 242-3939

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
I20081205000510 CA Practitioner - UrologyPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 2062424674 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urologic Institute of the High Desert IncGroup PAC ID 3476681008, 11 clinicians
Palm Valley Multi-Specialty Medical Group PCGroup PAC ID 8628412418, 17 clinicians

Practice addresses (Care Compare)

18300 US Hwy 18
Apple Valley, CA 92307-2206
Phone (760) 242-2311

18400 US Hwy 18
Apple Valley, CA 92307-2306
Phone (760) 242-3939

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

47111 Monroe St
Indio, CA 92201-6739
Phone (760) 347-6191

72650 Fred Waring Dr
Palm Desert, CA 92260-5007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as group
Quality
84.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB07385700NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Dec 25, 2016 Accepting new patients
Halo Medical Group CurrentSince Feb 15, 2022 Accepting new patients
Urologic Institute of the High Desert Inc. Urology CurrentSince Mar 1, 2010 Accepting new patients
Aria Anesthesia Group Inc CurrentSince Dec 14, 2011 Accepting new patients
Halo Medical Group Urology CurrentSince Feb 15, 2022 Accepting new patients
Palm Valley Multi-Specialty Medical Group PC Urology CurrentSince Jan 1, 2024 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Palm Valley Surgical Center, Inc PastSince Jan 1, 2020 Accepting new patients
Cooperman Barnabas Medical Center Inc Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
HMG Urology PC Urology Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients

Locations

16017 Tuscola Rd
Ste D
Apple Valley, CA 92307
Phone (760) 243-4327

18092 Wika Rd
Ste 220
Apple Valley, CA 92307
Phone (760) 515-6260

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

18400 US Highway 18
#A
Apple Valley, CA 92307

18400 US Highway 18
Ste A
Apple Valley, CA 92307
Phone (951) 302-1576

18400 US Highway 18
Ste B
Apple Valley, CA 92307
Phone (760) 515-6260

1720 Esplanade
Chico, CA 95926
Phone (530) 898-0500

74785 US Highway 111
Ste 100
Indian Wells, CA 92210
Phone (760) 346-3932

74785 US Highway 111
Ste 101
Indian Wells, CA 92210
Phone (760) 346-4329

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

81800 Doctor Carreon Blvd
Ste C
Indio, CA 92201
Phone (760) 863-4085

79440 Corporate Center Dr
Ste 102
La Quinta, CA 92253
Phone (760) 610-8640

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

1401 Avocado Ave
Ste 608
Newport Beach, CA 92660
Phone (949) 640-2081

72650 Fred Waring Dr
Ste 104
Palm Desert, CA 92260
Phone (650) 282-0757

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

72650 Fred Waring Dr
Ste 204
Palm Desert, CA 92260
Phone (760) 324-3000

72650 Fred Waring Dr
Ste 205
Palm Desert, CA 92260

1133 N Palm Canyon Dr
Ste B
Palm Springs, CA 92262
Phone (760) 322-8883

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

1221 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 325-5255

1111 N China Lake Blvd
#220
Ridgecrest, CA 93555
Phone (760) 446-8100

16850 Bear Valley Rd
Victorville, CA 92395

57370 29 Palms Hwy
Ste 203
Yucca Valley, CA 92284
Phone (760) 369-0069

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pedram.ilbeigi.p1@direct.dvmg.nextgenshare.com

Organizations & group practices 18

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.

View all 18

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1609827336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 US HIGHWAY 18",
            "address_2": "SUITE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072306",
            "telephone_number": "760-242-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 US HIGHWAY 18",
            "address_2": "SUITE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072306",
            "telephone_number": "760-242-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILBEIGI",
        "first_name": "PEDRAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MB07385700",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "20A8878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.