Individual provider Active NPI

Mohsen Ghadimi-Mahani, M.D.

  • Medical Oncology Physician
  • Laredo, TX
National Provider Identifier
1881845253
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
000000 Issued in TX
Practice address
1710 E. Saunders St. Suite a 140
Laredo, TX 78041
Phone
(956) 796-3580
Fax
(956) 796-3582
NPI assigned
Oct 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 000000 TX Primary

Addresses

Primary practice location

1710 E. Saunders St. Suite a 140
Laredo, TX 78041

Mailing address

1710 E Saunders St
Laredo, TX 78041-5443
Phone (956) 796-3580

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mohsen.ghadimi-mahani.2@1902.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20131115001066 TX Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0345476693 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Employee Assistance Program IncGroup PAC ID 1557260064, 102 clinicians

Practice addresses (Care Compare)

10700 McPherson Rd
Laredo, TX 78045-6268
Phone (956) 795-8270

108 N Robb St
Trinity, TX 75862-7602
Phone (409) 594-7632

1602 Rock Prairie Rd
College Station, TX 77845-0001

1700 E Saunders St
Laredo, TX 78041-5474
Phone (956) 796-4738

Hospital & facility affiliations

  • Altus Hospice Hospice, Laredo, TX, CCN 671614
  • Holy Savior Hospice Hospice, Bedford, TX, CCN 671780
  • Laredo Medical Center Hospital, Laredo, TX, CCN 450029
  • Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643
  • Las Alturas Nursing & Transitional Care Nursing home, Laredo, TX, CCN 676465
  • Laredo Nursing and Rehabilitation Center Nursing home, Laredo, TX, CCN 676313

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000000TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Apr 1, 2016 Accepting new patients
Timberland Medical Group CurrentSince Jul 14, 2014 Accepting new patients
Timberland Medical Group CurrentSince Jul 14, 2014 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Apr 1, 2016 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

1710 E Saunders St
Laredo, TX 78041
Phone (956) 725-1228

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

1710 E Saunders St
Ste A140
Laredo, TX 78041
Phone (956) 794-8861

601 E San Antonio St
Ste 402W
Victoria, TX 77901
Phone (361) 485-9600

Organizations & group practices 6

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 6

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": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1881845253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E SAUNDERS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415443",
            "telephone_number": "956-796-3580",
            "fax_number": "956-796-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E. SAUNDERS ST. SUITE A 140",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "956-796-3580",
            "fax_number": "956-796-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHADIMI-MAHANI",
        "first_name": "MOHSEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-03",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mohsen.ghadimi-mahani.2@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1710 E. Saunders St. Suite A 140",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.