Individual provider Active NPI

Davood Vafai, M.D.

  • Hematology & Oncology Physician
  • Rancho Mirage, CA
National Provider Identifier
1629066220
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A50294 Issued in CA
Practice address
40075 Bob Hope Dr
Suite a
Rancho Mirage, CA 92270-3942
Phone
(760) 341-3688
NPI assigned
Oct 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A50294 CA Primary

Addresses

Primary practice location

40075 Bob Hope Dr
Suite a
Rancho Mirage, CA 92270-3942

Mailing address

40075 Bob Hope Dr
Suite a
Rancho Mirage, CA 92270-3942
Phone (760) 341-3688

Other identifiers 3

IdentifierTypeStateIssuer
00A502940OtherCABLUE SHIELD
00A502940MedicaidCA
00A502940OtherCABLUE CROSS

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
I20050331001211 CA Practitioner - Medical OncologyPractitioner - Internal Medicine 7113974304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

40075 Bob Hope Dr
Suite a
Rancho Mirage, CA 92270-3945
Phone (760) 341-3688

Hospital & facility affiliations

  • Blue Horizon Hospice Hospice, Palm Springs, CA, CCN B51794
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
85.37
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50294CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenhower Medical Center CurrentSince Oct 17, 2013 Accepting new patients
Eisenhower Medical Center CurrentSince Oct 17, 2013 Accepting new patients
Eisenhower Medical Center Current Accepting new patients
Davood Vafai MD Incorporated Hematology & Oncology PastSince Apr 18, 2005 Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients

Locations

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

39700 Bob Hope Dr
Ste 110
Rancho Mirage, CA 92270
Phone (760) 340-5545

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

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

40075 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 340-3911

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

Interoperability endpoints

  • Direct secure messaging: dvafai14774@edirect.emc.org

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 2

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": "1128816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1629066220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40075 BOB HOPE DR",
            "address_2": "SUITE A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703942",
            "telephone_number": "760-341-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40075 BOB HOPE DR",
            "address_2": "SUITE A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703942",
            "telephone_number": "760-341-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAFAI",
        "first_name": "DAVOOD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-09",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A50294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A502940",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A502940",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00A502940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.