Neema Mohammad Aghamohammadi, D.O.

Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Carmichael, CA

NPI 1831144732 · NPPES record last updated May 14, 2008

Key facts

NPI
1831144732
Entity type
Individual (NPI type 1)
Primary specialty
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
License
20A7859 (CA)
Practice address
3637 Mission Ave
Suite 7
Carmichael, CA 95608-2946
Phone
(916) 679-3524
Fax
(916) 679-3563
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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 1

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

Medicare Care Compare profile

Specialty
Pulmonary Disease
Also: Critical Care (Intensivists), Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Critical Care Physicians Medical Group Inc (15 clinicians)

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 764-4624

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital · Newport Beach, CA · CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100 (group)
Quality
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070213000625 CA Practitioner - Pulmonary Disease
Practitioner - Critical Care (Intensivists)
Practitioner - Internal Medicine
2567464076 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A7859CAMDCritical Care Medicine (Internal Medicine) Physician
207A 7859CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine Associates Medical Group, Inc Critical Care Medicine Past Accepting new patients
Usc Internal Medicine, Inc. Pulmonary Disease Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 207A 7859 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 20A7859 CA Yes

Addresses

Primary practice location

3637 Mission Ave
Suite 7
Carmichael, CA 95608-2946

Mailing address

77 Cadillac Dr
Suite 210
Sacramento, CA 95825-5453
Phone (916) 325-1040

Other identifiers

IdentifierTypeStateIssuer
20A 7859OtherCAOSTEOPATHIC MEDICAL BOARD
00AX78590MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 14, 2008.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1831144732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR",
            "address_2": "SUITE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255453",
            "telephone_number": "916-325-1040",
            "fax_number": "916-669-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 MISSION AVE",
            "address_2": "SUITE 7",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082946",
            "telephone_number": "916-679-3524",
            "fax_number": "916-679-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHAMOHAMMADI",
        "first_name": "NEEMA",
        "middle_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "207A 7859",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "20A7859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC MEDICAL BOARD",
            "identifier": "20A 7859",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX78590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

All providers in Carmichael, CA · Critical Care Medicine (Internal Medicine) Physician in California

Sources for this page

Verify at the official NPI Registry.