NPIMap

Individual provider Active NPI

Alain A Waked, M.D.

  • Interventional Cardiology Physician
  • Riverside, CA
National Provider Identifier
1932304813
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A143528 Issued in CA
Practice address
4500 Brockton Ave Ste 203
Riverside, CA 92501-4006
Phone
(951) 686-3600
Fax
(951) 686-1162
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A143528 CA
Interventional Cardiology Physician 207RI0011X A143528 CA Primary

Addresses

Primary practice location

4500 Brockton Ave Ste 203
Riverside, CA 92501-4006

Mailing address

4500 Brockton Ave Ste 203
Riverside, CA 92501-4006
Phone (951) 686-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170721002901 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7012080641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4500 Brockton Ave
Suite 203
Riverside, CA 92501-4006
Phone (951) 686-3600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.32
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair1-10
Varicose vein removal114
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A143528CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Nuclear, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Malcolm S Pond MD Inc & Chiayu Chen MD PTR Cardiology Associates Cardiovascular Disease CurrentSince Jul 1, 2017 Accepting new patients
Cardiac Imaging Inc CurrentSince Jul 12, 2022 Accepting new patients
Staten Island University Hospital Past Accepting new patients
Staten Island Hospitalists, PC Past Accepting new patients
24 Ihim LLC PastSince Jul 25, 2019 Accepting new patients
Bowling Green Warren County Community Hospital Corporation Past Accepting new patients
Richard P Carr Physical Therapy Inc Past Accepting new patients

Locations

4500 Brockton Ave
Ste 203
Riverside, CA 92501
Phone (951) 686-3600

Interoperability endpoints

  • Direct secure messaging: drwaked@rvc.ssdirect.aprima.com

Organizations & group practices 8

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 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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932304813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014006",
            "telephone_number": "951-686-3600",
            "fax_number": "951-686-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014006",
            "telephone_number": "951-686-3600",
            "fax_number": "951-686-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKED",
        "first_name": "ALAIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A143528",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A143528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.