Individual provider Active NPI

Assad U Darawal, MD

  • Internal Medicine Physician
  • Indio, CA
National Provider Identifier
1902877301
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A051602 Issued in CA
Practice address
81893 Dr Carreon Blvd
#1
Indio, CA 92201
Phone
(760) 342-8005
Fax
(760) 342-5451
NPI assigned
Feb 1, 2006
Last updated
Aug 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A051602 CA Primary

Addresses

Primary practice location

81893 Dr Carreon Blvd
#1
Indio, CA 92201

Mailing address

81893 Dr Carreon Blvd
#1
Indio, CA 92201
Phone (760) 342-8005

Other identifiers 2

IdentifierTypeStateIssuer
GR0085630MedicaidCA
00A516020MedicaidCA

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
I20070813000477 CA Practitioner - Internal Medicine 9830173681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

81893 Dr Carreon Blvd
Suite 1
Indio, CA 92201-5592
Phone (760) 342-8005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
75.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A051602CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Assad U Darawal M.D. Inc Internal Medicine CurrentSince Oct 1, 1996 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Chandrashekar Medical Corporation Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

81893 Doctor Carreon Blvd
Ste 1
Indio, CA 92201
Phone (760) 342-8005

Organizations & group practices 5

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 3

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1902877301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81893 DR CARREON BLVD",
            "address_2": "#1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-342-8005",
            "fax_number": "760-342-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81893 DR CARREON BLVD",
            "address_2": "#1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-342-8005",
            "fax_number": "760-342-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARAWAL",
        "first_name": "ASSAD",
        "middle_name": "U",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A051602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085630",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A516020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.