Individual provider Active NPI

Shahab Mehdizadeh, M.D.

  • Gastroenterology Physician
  • Beverly Hills, CA
National Provider Identifier
1790715241
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A76490 Issued in CA
Practice address
240 S la Cienega Blvd
Suit 102
Beverly Hills, CA 90211-3324
Phone
(310) 246-4100
Fax
(310) 285-2029
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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 A76490 CA Primary

Addresses

Primary practice location

240 S la Cienega Blvd
Suit 102
Beverly Hills, CA 90211-3324

Mailing address

240 S la Cienega Blvd
Suit 102
Beverly Hills, CA 90211-3324
Phone (310) 246-4100

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
I20060911000362 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 7315941135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

240 S la Cienega Blvd
Beverly Hills, CA 90211-3313
Phone (310) 246-4100

Hospital & facility affiliations

  • Ha Home Care Inc Home health agency, Sun Valley, CA, CCN 757896
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy326
Upper gastrointestinal (GI) endoscopy for acid reflux304
Removal of skin lesions12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A76490CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shahab Mehdizadeh MD Inc Gastroenterology CurrentSince Sep 1, 2006 Accepting new patients

Locations

240 S La Cienega Blvd
Ste 102
Beverly Hills, CA 90211
Phone (310) 246-4100

9090 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 421-0066

Interoperability endpoints

  • Direct secure messaging: smehdizadeh103281@direct.cshs.org

Organizations & group practices 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1790715241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S LA CIENEGA BLVD",
            "address_2": "SUIT 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113324",
            "telephone_number": "310-246-4100",
            "fax_number": "310-285-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S LA CIENEGA BLVD",
            "address_2": "SUIT 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113324",
            "telephone_number": "310-246-4100",
            "fax_number": "310-285-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHDIZADEH",
        "first_name": "SHAHAB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A76490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.