NPIMap

Individual provider Active NPI

Hossein Babaali, M.D.

  • Pulmonary Disease Physician
  • Santa Monica, CA
National Provider Identifier
1699790584
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G86162 Issued in CA
Practice address
2428 Santa Monica Blvd Ste 402
Santa Monica, CA 90404-2047
Phone
(310) 449-4595
Fax
(310) 828-6635
NPI assigned
Jul 13, 2006
Last updated
Mar 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G86162 CA
Pulmonary Disease Physician 207RP1001X G86162 CA Primary

Addresses

Primary practice location

2428 Santa Monica Blvd Ste 402
Santa Monica, CA 90404-2047

Mailing address

2428 Santa Monica Blvd Ste 402
Santa Monica, CA 90404-2047
Phone (310) 449-4595

Other identifiers 2

IdentifierTypeStateIssuer
00G861620MedicaidCA
00G861621MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629001235 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0547206559 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3130 W Olympic Blvd
Suite 360
Los Angeles, CA 90006-2494
Phone (323) 733-1004

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G86162CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Lung Center Medical Group Inc. Pulmonary Disease CurrentSince Dec 6, 2016 Accepting new patients
Varicose Relief Inc Critical Care Medicine Current Accepting new patients
Varicose Relief Inc. CurrentSince Jul 7, 2015 Accepting new patients
H. Babaali, M.D. Medical Inc. Pulmonary Disease Past Accepting new patients
H. Babaali, M.D. Medical Inc. Critical Care Medicine Past Accepting new patients

Locations

401 S La Brea Ave
Inglewood, CA 90301
Phone (310) 275-7575

3130 W Olympic Blvd
Ste 360
Los Angeles, CA 90006
Phone (323) 733-1004

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1699790584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 SANTA MONICA BLVD STE 402",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042047",
            "telephone_number": "310-449-4595",
            "fax_number": "310-828-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 SANTA MONICA BLVD STE 402",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042047",
            "telephone_number": "310-449-4595",
            "fax_number": "310-828-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAALI",
        "first_name": "HOSSEIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G86162",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G86162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G861620",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G861621",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.