Individual provider Active NPI

Afrouz S. Gerayli, MD

  • Internal Medicine Physician
  • Camarillo, CA
National Provider Identifier
1801044839
Registry record updated Nov 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70360 Issued in CA
Practice address
500 Paseo Camarillo
Suite 100
Camarillo, CA 93010-5900
Phone
(805) 484-1033
Fax
(805) 482-7213
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A70360 CA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A70360 CA

Addresses

Primary practice location

500 Paseo Camarillo
Suite 100
Camarillo, CA 93010-5900

Mailing address

500 Paseo Camarillo
Suite 100
Camarillo, CA 93010-5900
Phone (805) 484-1033

Other identifiers 1

IdentifierTypeStateIssuer
00A703600MedicaidCA

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
I20110401000367 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2860676657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Texas Medical School at San Antonio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Afrouz Gerayli MD Inc 3 clinicians

Practice addresses (Care Compare)

500 Paseo Camarillo
Suite 100
Camarillo, CA 93010-5900
Phone (805) 484-1033

Hospital & facility affiliations

  • Mission Home Health of Ventura, LLC Home health agency, Oxnard, CA, CCN 557219
  • Unlimited Care Home Health, Inc. Home health agency, Camarillo, CA, CCN 757613
  • Professional Care Home Health Services Inc Home health agency, Simi Valley, CA, CCN 058332
  • Assisted Home Care Home health agency, Ventura, CA, CCN 058039
  • We Care Home Health, Inc Home health agency, Van Nuys, CA, CCN 059406
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Merit-based Incentive Payment System (MIPS)

Final score
47.41 of 100Reported as individual
Quality
77.03
Improvement activities
0
Cost
55.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70360CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gersha Apc Internal Medicine Current Accepting new patients
Community Memorial Health System Past Accepting new patients
Heng Medical, Inc PastSince Nov 20, 2011 Accepting new patients

Locations

1240 S Westlake Blvd
Ste 103
Westlake Vlg, CA 91361
Phone (805) 482-2419

Interoperability endpoints

  • Direct secure messaging: afrouz.gerayli@593299665977348.direct.elationemr.com

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 and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290211200000",
    "number": "1801044839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PASEO CAMARILLO",
            "address_2": "SUITE 100",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105900",
            "telephone_number": "805-484-1033",
            "fax_number": "805-482-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PASEO CAMARILLO",
            "address_2": "SUITE 100",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105900",
            "telephone_number": "805-484-1033",
            "fax_number": "805-482-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERAYLI",
        "first_name": "AFROUZ",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2010-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70360",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A70360",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A703600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.