Mehrdad Razavi, M.D.

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

License

C53033 Issued in CA

Practice address

1505 Victor Ave
Redding, CA 96003-4031

Phone

(530) 242-9273

Fax

(530) 242-5873

NPI assigned

Nov 7, 2005

Last updated

Apr 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, CA2 enrollments

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 2

Specialty

Sleep Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Sleep Centers IncGroup PAC ID 8921326760, 6 clinicians

Innovative Sleep Centers PLLCGroup PAC ID 6103010392, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.21 of 100Reported as group

Quality

90.11

Promoting interoperability

100

Improvement activities

40

Cost

73.92

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Promoting interoperability

92

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17033/brand/1/csg/1/fhir/r4
• Direct secure messaging: mehrdad.razavi.1@17033.direct.athenahealth.com

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.

• Innovative Sleep Centers, Inc.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Redding, CA
  • NPI 1538564463
  Medicare reassignment Care Compare group NPD Authorized official
• Innovative Sleep Centers PLLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Tumwater, WA
  • NPI 1083925168
  Medicare reassignment Care Compare group NPD Authorized official
• Ronald L. Renard MD, Inc.

  • Allergy & Immunology Physician
  • Redding, CA
  • NPI 1437556644
  NPD (past)
• Shasta Regional Medical Center, LLC

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1033187182
  NPD (past)
• 40 Winks Sleep LLC

  dba Home Sleep Solutions

  • Sleep Specialist (PhD)
  • Kenmore, WA
  • NPI 1497990444
  NPD (past)
• Creighton University

  dba Creighton Medical Associates

  • Allergy & Immunology (Internal Medicine) Physician
  • Omaha, NE
  • NPI 1295777225
  NPD (past)
• Creighton University

  dba Creighton Therapy and Wellness

  • Physical Therapist
  • Omaha, NE
  • NPI 1780172304
  NPD (past)
• Mary Greeley Medical Center

  • Rehabilitation Hospital Unit
  • Ames, IA
  • NPI 1235115031
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1609857788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 VICTOR AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034031",
            "telephone_number": "530-242-9273",
            "fax_number": "530-242-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 VICTOR AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034031",
            "telephone_number": "530-242-9273",
            "fax_number": "530-242-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZAVI",
        "first_name": "MEHRDAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "WA",
            "license": "MD60101049",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "C53033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1186148",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin R Ray, PHARMD
• Kari Leigh Ray, M.S., CCC-SLP
• Micaiah Grace Ray
• Lakshmi Tulasi Rayapati, MD
• Andrea Deshiell Raymer, CMP
• Caitlin Nicole Read, RN, BSN, PHN, FNE
• Nathanael B Read
• Brian A Reber, P.A.
• Recalibrate Marriage Family and Individual Counseling Inc (Recalibrate Counseling)
• Heather L Rector

• Sleep Medicine (Psychiatry & Neurology) Physician in Redding, CA
• Providers in Redding, CA by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.