Individual provider Active NPI

M Ramin Modabber, M.D.

  • Orthopaedic Hand Surgery Physician
  • Santa Monica, CA
National Provider Identifier
1922198092
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
G83016 Issued in CA
Practice address
2020 Santa Monica Blvd Ste 400
Santa Monica, CA 90404-2139
Phone
(310) 829-2663
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G83016 CA
Surgery of the Hand (Surgery) Physician 2086S0105X G83016 CA
Orthopaedic Hand Surgery Physician 207XS0106X G83016 CA Primary

Addresses

Primary practice location

2020 Santa Monica Blvd Ste 400
Santa Monica, CA 90404-2139

Mailing address

2020 Santa Monica Blvd Ste 400
Santa Monica, CA 90404-2139
Phone (310) 829-2663

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
I20090305000076 CA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 5991808560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

2020 Santa Monica Blvd
Santa Monica, CA 90404-2139
Phone (310) 829-2663

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 576-7267

8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83016CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Oct 14, 2014 Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
Medical Plaza Orthopedic Surgery Center PastSince Apr 30, 2007 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

2020 Santa Monica Blvd
Ste 400
Santa Monica, CA 90404
Phone (310) 315-2068

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

696 Hampshire Rd
Ste 200
Westlake Vlg, CA 91361
Phone (805) 497-0817

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rmodabber196293@direct.cshs.org

Organizations & group practices 4

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1922198092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SANTA MONICA BLVD STE 400",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042139",
            "telephone_number": "310-829-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SANTA MONICA BLVD STE 400",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042139",
            "telephone_number": "310-829-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODABBER",
        "first_name": "M",
        "middle_name": "RAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G83016",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "G83016",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G83016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.