Kourosh Moshiri, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A138911 Issued in CA

Practice address

72780 Country Club Dr Ste 205
Rancho Mirage, CA 92270-4150

Phone

(760) 834-7900

Fax

(760) 834-7901

NPI assigned

Sep 22, 2010

Last updated

Dec 19, 2022By 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 2

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

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Care Home Health, Inc. Home health agency, Palm Desert, CA, CCN 059411
• Amazing Health Home Care Inc Home health agency, Palm Desert, CA, CCN 559526
• Suncrest Healthcare Home health agency, Palm Desert, CA, CCN 757159
• Suncrest Home Health Services Inc Home health agency, Chino, CA, CCN 059259
• Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Merit-based Incentive Payment System (MIPS)

Final score

87.87 of 100Reported as group

Quality

85.37

Promoting interoperability

100

Improvement activities

40

Cost

74.18

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmoshiri106507@edirect.emc.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Stagecoach Healthcare, Inc.

  dba Desert Mountain Care Center

  • Skilled Nursing Facility
  • Indio, CA
  • NPI 1578141206

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  Medicare reassignment Care Compare group NPD
• Eisenhower Medical Center

  dba Eisenhower

  • General Acute Care Hospital
  • Palm Desert, CA
  • NPI 1538491949
  NPD

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

• Amazing Health Home Care, Inc

  • Home Health Agency
  • Palm Desert, CA
  • NPI 1003476953
  Care Compare affiliation
• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  Care Compare affiliation
• Suncrest Healthcare

  • Home Health Agency
  • Palm Desert, CA
  • NPI 1629674957
  Care Compare affiliation
• Suncrest Home Health Services, Inc.

  • Home Health Agency
  • Chino, CA
  • NPI 1861634115
  Care Compare affiliation
• Valley Care Home Health, Inc.

  • Home Health Agency
  • Palm Desert, CA
  • NPI 1730481193
  Care Compare affiliation

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1821306994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE 205",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-834-7900",
            "fax_number": "760-834-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE 205",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-834-7900",
            "fax_number": "760-834-7901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "fax_number": "760-834-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSHIRI",
        "first_name": "KOUROSH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "273304",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A138911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01581958-DU4034",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EFF: 12/15/2015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Lynn Moroney
• Morrow Institute Medical Group Inc
• David Martin Morrow, M.D.
• Morton L. Kurland, M.D., Inc.
• Daniel Mosallaei
• Judy Moulayes, MD
• Rebekah Mounger, DO
• Masoud Movassaghi, MD
• Maria E Moya, M.D.
• Amanda Jane Moyer, NP

• Internal Medicine Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.