Individual provider Active NPI

Firas M Rahhal, MD

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1881658615
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G78656 Issued in CA
Practice address
1245 Wilshire Blvd
380
Los Angeles, CA 90017-4810
Phone
(213) 483-8810
Fax
(213) 481-1503
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G78656 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd
380
Los Angeles, CA 90017-4810

Mailing address

1245 Wilshire Blvd
380
Los Angeles, CA 90017-4810
Phone (213) 483-8810

Other identifiers 2

IdentifierTypeStateIssuer
00G786560MedicaidCA
W3452OtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040617001468 CA Practitioner - Ophthalmology 4981688603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Connecticut School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Vitreous Associates Medical GroupGroup PAC ID 5799769584, 17 clinicians

Practice addresses (Care Compare)

1245 Wilshire Blvd
Suite 380
Los Angeles, CA 90017-4886
Phone (213) 483-8810

12840 Riverside Dr
Suite 333
North Hollywood, CA 91607-3386
Phone (818) 754-2090

1510 S Central Ave
Suite 230
Glendale, CA 91204-2583
Phone (818) 797-4870

9001 Wilshire Blvd
Suite 301
Beverly Hills, CA 90211-1841
Phone (310) 854-6201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G78656CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cha Medical and Surgical Group, PC Ophthalmology CurrentSince Nov 18, 2020 Accepting new patients
Choice Physicians Network, Inc. Past Accepting new patients
The Oncology Institute Ca, a Professional Corporation Past Accepting new patients
Dan K Sakamoto M D Medical Corp Ophthalmology Past Accepting new patients
Corwin Medical Group Inc Ipa Past Accepting new patients
Limberg Eye Surgery a Medical Corporation Ophthalmology PastSince Jun 30, 2021 Accepting new patients

Locations

1300 N Vermont Ave
Ste 101
Los Angeles, CA 90027
Phone (323) 644-4445

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/
  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1881658615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-483-8810",
            "fax_number": "213-481-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-483-8810",
            "fax_number": "213-481-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHHAL",
        "first_name": "FIRAS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G78656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G786560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W3452",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.