Individual provider Active NPI

Ramin Nmi Khalili, MD FACS

  • Urology Physician
  • Pasadena, CA
National Provider Identifier
1689784449
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G76811 Issued in CA
Practice address
39 Congress St
Suite 301
Pasadena, CA 91105-3024
Phone
(626) 486-0184
Fax
(626) 486-0217
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G76811 CA Primary

Addresses

Primary practice location

39 Congress St
Suite 301
Pasadena, CA 91105-3024

Mailing address

39 Congress St
Suite 301
Pasadena, CA 91105-3024
Phone (626) 486-0184

Other identifiers 1

IdentifierTypeStateIssuer
W21864OtherCAGROUP PTAN

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
I20070519000074 CA Practitioner - Urology 8224135637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, Geffen School of Medicine, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Huntington Urology Specialists IncGroup PAC ID 9739591900, 3 clinicians

Practice addresses (Care Compare)

800 Fairmount Ave
Suite 412
Pasadena, CA 91105-3154
Phone (626) 486-0184

800 Fairmount Ave
Suite 417
Pasadena, CA 91105-3153
Phone (626) 486-0184

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Urology Specialists, Inc. Urology CurrentSince Jul 1, 2020 Accepting new patients
Ramin Khalili MD PC CurrentSince Jun 11, 2007 Accepting new patients

Locations

800 Fairmount Ave
Ste 417
Pasadena, CA 91105
Phone (626) 486-0184

39 Congress St
Ste 201
Pasadena, CA 91105
Phone (626) 486-0181

39 Congress St
Ste 301
Pasadena, CA 91105
Phone (626) 486-0181

800 Fairmount Ave
Ste 412
Pasadena, CA 91105
Phone (626) 486-0184

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHIDBA

Organizations & group practices 2

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 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1689784449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CONGRESS ST",
            "address_2": "SUITE 301",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053024",
            "telephone_number": "626-486-0184",
            "fax_number": "626-486-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CONGRESS ST",
            "address_2": "SUITE 301",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053024",
            "telephone_number": "626-486-0184",
            "fax_number": "626-486-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALILI",
        "first_name": "RAMIN",
        "middle_name": "NMI",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G76811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "W21864",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.