Ali Reza Mirhosseini, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A163378 Issued in CA

Practice address

1530 Bessie Ave Ste 101
Tracy, CA 95376-3080

Phone

(209) 832-0343

Fax

(209) 464-2684

NPI assigned

Jun 20, 2011

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

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

Cardiovascular Disease (Cardiology)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stockton Cardiology Medical Group Complete Heart Care IncGroup PAC ID 8921048257, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Tracy Community Hospital Hospital, Tracy, CA, CCN 050313
• Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118
• Memorial Medical Center Hospital, Modesto, CA, CCN 050557
• St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084

Merit-based Incentive Payment System (MIPS)

Final score

88.64 of 100Reported as group

Quality

91.04

Promoting interoperability

74

Improvement activities

40

Cost

73.91

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: amirhosseini136339@hpmg.direct-ci.net
• Direct secure messaging: amirhosseini465196@hisp.ehr.sutterhealth.org

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.

• Stockton Cardiology Medical Group Complete Heart Care Inc

  • Cardiovascular Disease Physician
  • Stockton, CA
  • NPI 1477591444
  Medicare reassignment Care Compare group
• PMR Illinois Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1770038671
  NPD
• Hill Physicians Medical Group - PPO Program

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1679011035
  NPD (past)

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

• Doctors Hospital of Manteca, Inc.

  • General Acute Care Hospital
  • Manteca, CA
  • NPI 1992736599
  Care Compare affiliation
• Port City Operating Company, LLC

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1528190931
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1699129601
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Tracy, CA
  • NPI 1821442864
  Care Compare affiliation

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1831485705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E HARDING WAY STE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046118",
            "telephone_number": "209-944-5750",
            "fax_number": "209-464-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BESSIE AVE STE 101",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763080",
            "telephone_number": "209-832-0343",
            "fax_number": "209-464-2684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1148 Norman Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953365961",
            "country_code": "US",
            "telephone_number": "209-824-1555",
            "fax_number": "209-464-2684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRHOSSEINI",
        "first_name": "ALI",
        "middle_name": "REZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A163378",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036135296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa D Miner, PTA
• Carl Miral
• Faith Miranda
• Monserrat Miranda
• Stephanie Miranda
• Mitchell E. Blum M.D., F.a.C.S., Inc.
• Mitchell L. Seitz, M.D. P.C.
• Lexus Mitchell
• Modern Therapies for Mind and Soul, Inc
• Modesto Radiological Medical Group, Inc

• Cardiovascular Disease Physician in Tracy, CA
• Providers in Tracy, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.
• 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.