Individual provider Active NPI

Mayur Trivedi, MD

  • Gastroenterology Physician
  • Simi Valley, CA
National Provider Identifier
1629265046
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A91177 Issued in CA
Practice address
1687 Erringer Rd
Suite #103
Simi Valley, CA 93065-6508
Phone
(805) 492-4463
Fax
(866) 496-4990
NPI assigned
Sep 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A91177 CA Primary

Addresses

Primary practice location

1687 Erringer Rd
Suite #103
Simi Valley, CA 93065-6508

Mailing address

2060D Avenida de Los Arboles
Suite #574
Thousand Oaks, CA 91362-1376
Phone (805) 492-4463

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
I20090818000808 CA Practitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - Obstetrics/Gynecology 3476607987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology and Hepatology Specialists IncGroup PAC ID 3173784295, 2 clinicians

Practice addresses (Care Compare)

1687 Erringer Rd
Simi Valley, CA 93065-6509
Phone (805) 583-4463

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.13 of 100Reported as individual
Quality
60.68
Promoting interoperability
91
Improvement activities
40
Cost
65.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy249
Upper gastrointestinal (GI) endoscopy for acid reflux309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91177CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology & Hepatology Specialists Inc Gastroenterology CurrentSince Feb 4, 2012 Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients

Locations

1687 Erringer Rd
Ste 103
Simi Valley, CA 93065
Phone (310) 927-1286

2876 Sycamore Dr
Ste 203
Simi Valley, CA 93065
Phone (805) 497-0961

2060D E Avenida de los Arboles
Thousand Oaks, CA 91362
Phone (805) 267-4890

2060 E Avenida de los Arboles
Ste D
Thousand Oaks, CA 91362
Phone (805) 409-7290

2230 Lynn Rd
Ste 210
Thousand Oaks, CA 91360
Phone (805) 373-5144

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": "1191110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1629265046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060D AVENIDA DE LOS ARBOLES",
            "address_2": "SUITE #574",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913621376",
            "telephone_number": "805-492-4463",
            "fax_number": "866-496-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD",
            "address_2": "SUITE #103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656508",
            "telephone_number": "805-492-4463",
            "fax_number": "866-496-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "MAYUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-30",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A91177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.