Individual provider Active NPI

Bara Mouradi, MD

  • Diagnostic Radiology Physician
  • Warwick, RI
National Provider Identifier
1821028705
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD12590 Issued in RI
Practice address
125 Metro Center Boulevard Suite 2000
Warwick, RI 02886
Phone
(401) 432-2520
Fax
(401) 453-8220
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A83434 CA
Diagnostic Radiology Physician 2085R0202X MD12590 RI Primary

Addresses

Primary practice location

125 Metro Center Boulevard Suite 2000
Warwick, RI 02886

Mailing address

125 Metro Center Boulevard Suite 2000
Warwick, RI 02886
Phone (401) 432-2520

Other identifiers 2

IdentifierTypeStateIssuer
00A834340OtherCABS
00A834340MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060825000465 CA Practitioner - Diagnostic Radiology 4082618491 Reassigns benefits to 12 organizations
I20080401000897 RI Practitioner - Diagnostic Radiology 4082618491 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Irvine, California College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modesto Advanced Diagnostic Imaging Medical CenterGroup PAC ID 1850336736, 62 clinicians
Stockton Diagnostic ImagingGroup PAC ID 0749386894, 59 clinicians
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians
Kern Radiology Medical Group IncGroup PAC ID 7214826460, 94 clinicians
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Diagnostic Radiological ImagingGroup PAC ID 4981680220, 52 clinicians

Practice addresses (Care Compare)

157 E Coolidge Ave
Modesto, CA 95350-4504
Phone (209) 524-6800

1801 E March LN
Suite A130
Stockton, CA 95210-6650
Phone 2094759871209474

222 E Main St
Suite 213 214
Barstow, CA 92311-2361
Phone (780) 242-4444

2301 Bahamas Dr
Bakersfield, CA 93309-0663
Phone (661) 326-9600

3 Valentine CT
Lincoln, RI 02865-3853
Phone (585) 218-8006

6191 N Thesta St
Fresno, CA 93710-5266
Phone (559) 447-2600

74000 Cnty Club Dr
Palm Desert, CA 92260-1685
Phone (760) 674-8800

79 Scripps Dr
Suite 100
Sacramento, CA 95825-6208
Phone (916) 921-1300

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.24 of 100Reported as group
Quality
51.34
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40
Cost
77.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A83434CAMDDiagnostic Radiology Physician
MD12590RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Diagnostic Radiology Group, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Jan 15, 2023 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Valley Radiology Medical Associates, Inc. CurrentSince Feb 14, 2025 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince May 8, 2023 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Alliance ENT Past Accepting new patients
Pueblo Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

9900 Stockdale Hwy
Ste 209
Bakersfield, CA 93311
Phone (661) 616-6306

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

2301 Bahamas Dr
Bakersfield, CA 93309

222 E Main St
Ste 213214
Barstow, CA 92311
Phone (780) 242-4444

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

340 Dardanelli Ln
Ste 11A
Los Gatos, CA 95032
Phone (408) 248-6912

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800

72855 Fred Waring Dr
Palm Desert, CA 92260
Phone (760) 837-1420

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262
Phone (760) 318-2980

35800 Bob Hope Dr
Ste 150A
Rancho Mirage, CA 92270
Phone (760) 770-1920

79 Scripps Dr
Ste 100
Sacramento, CA 95825
Phone (916) 921-1200

3536 Mendocino Ave
Ste 280
Santa Rosa, CA 95403
Phone (707) 579-8226

2320 N California St
Stockton, CA 95204
Phone (209) 466-2000

1801 E March Ln
Ste A130
Stockton, CA 95210
Phone (209) 475-9871

57840 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 228-1047

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1821028705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 METRO CENTER BOULEVARD SUITE 2000",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-432-2520",
            "fax_number": "401-453-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 METRO CENTER BOULEVARD SUITE 2000",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-432-2520",
            "fax_number": "401-453-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURADI",
        "first_name": "BARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A83434",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD12590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "00A834340",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A834340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.