Individual provider Active NPI

Raed A Al-Naser, M.D.

  • Pulmonary Disease Physician
  • La Mesa, CA
National Provider Identifier
1770589293
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A71932 Issued in CA
Practice address
5525 Grossmont Center Dr Ste 609
La Mesa, CA 91942-3009
Phone
(619) 589-9158
Fax
(619) 462-0371
NPI assigned
Jun 21, 2005
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 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 A71932 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A71932 CA
Pulmonary Disease Physician 207RP1001X A71932 CA Primary

Addresses

Primary practice location

5525 Grossmont Center Dr Ste 609
La Mesa, CA 91942-3009

Mailing address

PO Box 2535
La Mesa, CA 91943-2535
Phone (888) 664-8297

Other practice location 1

5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Phone (888) 664-8297

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
I20120309000249 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3678573672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 465-0711

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.13 of 100Reported as individual
Quality
39.85
Improvement activities
0
Cost
80.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A71932CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raed Al-Naser, M.D., a Medical Corporation Internal Medicine CurrentSince Aug 1, 2006 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 18, 2014 Accepting new patients
Ashok Kumar, M.D., a Medical Corporation Internal Medicine PastSince Oct 1, 1995 Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients

Locations

5525 Grossmont Center Dr
Ste 609
La Mesa, CA 91942
Phone (619) 466-5700

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

8851 Center Dr
Ste 304
La Mesa, CA 91942
Phone (619) 589-9158

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 1

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1770589293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2535",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919432535",
            "telephone_number": "888-664-8297",
            "fax_number": "866-313-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 GROSSMONT CENTER DR STE 609",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423009",
            "telephone_number": "619-589-9158",
            "fax_number": "619-462-0371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Grossmont Center Dr",
            "address_purpose": "LOCATION",
            "city": "La Mesa",
            "state": "CA",
            "postal_code": "919423019",
            "country_code": "US",
            "telephone_number": "888-664-8297",
            "fax_number": "866-313-8916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-NASER",
        "first_name": "RAED",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A71932",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A71932",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A71932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.