Neil S. Ghodadra, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A116163 Issued in CA

Practice address

120 S Spalding Dr
Suite 401
Beverly Hills, CA 90212-1800

Phone

(310) 860-3048

Fax

(310) 550-7680

NPI assigned

Aug 25, 2008

Last updated

Apr 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ghodadra.neil.027.0051203@ngho.meditab.direct-ci.com

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.

• Advanced Spine and Pain LLC

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1356950653

  Orthopaedic Surgery

  Medicare reassignment NPD
• Spalding Surgical Group

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Beverly Hills, CA
  • NPI 1750760898
  Authorized official Same address or phone
• Advanced Spine and Pain LLC

  • Pain Medicine (Anesthesiology) Physician
  • Phoenix, AZ
  • NPI 1639951577
  NPD
• Optimal Physician Surgical Group

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hidden Hills, CA
  • NPI 1073026696
  NPD (past)
• Midwest Orthopaedics at Rush, LLC

  • Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1811942451
  NPD (past)
• Prime Home Health, LLC

  • Home Health Agency
  • San Antonio, TX
  • NPI 1649813874
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1811144561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD",
            "address_2": "SUITE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254749",
            "telephone_number": "310-453-5404",
            "fax_number": "310-453-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR",
            "address_2": "SUITE 401",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121800",
            "telephone_number": "310-860-3048",
            "fax_number": "310-550-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHODADRA",
        "first_name": "NEIL",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125-050000",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A116163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FH410Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashkan Ghavami, MD
• Ghazali Chiropractic, Inc
• Shahnaz Ghazali, D.C.
• Edita Ghazaryan, NP
• Yasamin Nanaz Ghiasi, MD
• Maziar Ghodsian, D.O.
• Shahrzad Ghodsian, PA-C
• Gi Anesthesia Beverly Hills PC
• Gi Wellness Medical Corporation (GI Wellness)
• Yael Gidanian, OTR/L

• Orthopaedic Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.