Active NPI
Emad Kaabipour, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A95231
- Practice address
- 4301 N Star Way
Modesto, CA 95356-9262 - Phone
- (209) 577-1200
- Fax
- (209) 577-6517
- NPI assigned
- Mar 23, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 226780 | MA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A95231 | CA | Primary |
Addresses
Primary practice location
4301 N Star Way
Modesto, CA 95356-9262
Mailing address
PO Box 576768
Modesto, CA 95357-6768
Phone (209) 577-1200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2112931 | Medicaid | MA | |
| A95231 | Other | CA | CA STATE LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4301 N Star Way
Suite a
Modesto, CA 95356-9262
Phone (209) 577-1200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 53.37 of 100
- Quality
- 41.06
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226780 | MA | MD | Social Worker |
| A95231 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yosemite Pathology Medical Group, Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Yosemite Pathology Medical Group | Past | Accepting new patients | |
| Yosemite Pathology Medical Group, in | Past | Accepting new patients | |
| Saint Vincent Physician Services, Inc. | Past | Accepting new patients |
Locations
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
3172 Collins Dr
Ste B
Merced, CA 95348
Phone 2095771200220
4301 N Star Way
Modesto, CA 95356
Phone 2095771200 ext. 212
2625 Coffee Rd
Ste S
Modesto, CA 95355
Phone (208) 577-1200
1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151
4301 N Star Way
Ste A
Modesto, CA 95356
768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422
6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273
1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Modesto, CA
- NPI 1598760985
-
- Clinical Medical Laboratory
- Modesto, CA
- NPI 1831364140
-
- Clinical Medical Laboratory
- Tracy, CA
- NPI 1114192176
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1952360364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 576768",
"city": "MODESTO",
"state": "CA",
"postal_code": "953576768",
"telephone_number": "209-577-1200",
"fax_number": "209-577-6517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 N STAR WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569262",
"telephone_number": "209-577-1200",
"fax_number": "209-577-6517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAABIPOUR",
"first_name": "EMAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MA",
"license": "226780",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A95231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2112931",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE LICENSE",
"identifier": "A95231",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.