Individual provider Active NPI

Mohamad Khaldoun Alnabelsi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Rancho Mirage, CA
National Provider Identifier
1891786729
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A061138 Issued in CA
Practice address
39000 Bob Hope Dr
K208
Rancho Mirage, CA 92270-3221
Phone
(760) 773-5350
Fax
(760) 773-0098
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A061138 CA Primary

Addresses

Primary practice location

39000 Bob Hope Dr
K208
Rancho Mirage, CA 92270-3221

Mailing address

PO Box 1558
Palm Desert, CA 92261-1558
Phone (760) 773-5350

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
I20100908000905 CA Practitioner - Endocrinology 2163547571 Practice locations: Rancho Mirage, CA

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

39000 Bob Hope Dr
Suite 208
Rancho Mirage, CA 92270-3221
Phone (760) 773-5350

39000 Bob Hope Dr
Suite K208
Rancho Mirage, CA 92270-7048

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Merit-based Incentive Payment System (MIPS)

Final score
23.77 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A061138CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
JFK Memorial Hospital, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1891786729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1558",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922611558",
            "telephone_number": "760-773-5350",
            "fax_number": "760-773-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "K208",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-773-5350",
            "fax_number": "760-773-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALNABELSI",
        "first_name": "MOHAMAD",
        "middle_name": "KHALDOUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A061138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.