NPIMap

Individual provider Active NPI

Michael Bagheri, MD

  • Cardiovascular Disease Physician
  • Palm Springs, CA
National Provider Identifier
1740463322
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A117008 Issued in CA
Practice address
555 E Tachevah Dr Ste 1W202
Palm Springs, CA 92262
Phone
(760) 323-2174
Fax
(760) 864-9826
NPI assigned
Dec 6, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44172 TN
Cardiovascular Disease Physician 207RC0000X A117008 CA Primary
Interventional Cardiology Physician 207RI0011X AA117008 CA

Addresses

Primary practice location

555 E Tachevah Dr Ste 1W202
Palm Springs, CA 92262

Mailing address

555 E Tachevah Dr Ste 1W202
Palm Springs, CA 92262-5785
Phone (760) 323-2174

Other identifiers 1

IdentifierTypeStateIssuer
1513510MedicaidTN

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
I20110808000278 CA Practitioner - Cardiovascular Disease (Cardiology) 1052476116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

555 E Tachevah Dr
Suite 1W202
Palm Springs, CA 92262-5785
Phone (760) 323-2174

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.67 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
65.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting61
Pacemaker insertion or repair26

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
A117008CAMDCardiovascular Disease Physician
AA117008CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Aug 1, 2011 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Hi-Desert Medical Center Past Accepting new patients
Inpatient Consultants of Tennessee, P.C. Internal Medicine Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Desert Heart Physicians Medical Group, Inc. Cardiovascular Disease Past Accepting new patients

Locations

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b325db1e-d278-48b7-aa98-97fb6faadab8/
  • Direct secure messaging: mbagheri418711@direct.llu.edu

Organizations & group practices 7

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 4

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": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740463322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR STE 1W202",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625785",
            "telephone_number": "760-323-2174",
            "fax_number": "760-864-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR STE 1W202",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-323-2174",
            "fax_number": "760-864-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHERI",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "44172",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A117008",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "AA117008",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513510",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.