Individual provider Active NPI

Mehdi Shaaf, MD

  • Ophthalmology Physician
  • Rancho Mirage, CA
National Provider Identifier
1952476004
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G86815 Issued in CA
Practice address
40055 Bob Hope Dr
Suite J
Rancho Mirage, CA 92270-3937
Phone
(760) 346-5005
Fax
(760) 346-6446
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G86815 CA Primary

Addresses

Primary practice location

40055 Bob Hope Dr
Suite J
Rancho Mirage, CA 92270-3937

Mailing address

40055 Bob Hope Dr
Suite J
Rancho Mirage, CA 92270-3937
Phone (760) 346-5005

Other identifiers 1

IdentifierTypeStateIssuer
00G868150MedicaidCA

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
I20040909000674 CA Practitioner - Ophthalmology 0244206324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Eye Institute a Medical Group IncGroup PAC ID 7911966122, 43 clinicians

Practice addresses (Care Compare)

555 N 13TH Ave
Upland, CA 91786-4904
Phone (909) 982-8846

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
76.08
Promoting interoperability
72
Improvement activities
40
Cost
75.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G86815CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Dec 27, 2023 Accepting new patients
Pacific Eye Institute, a Medical Group, Inc. Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients
Pacific Eye Institute a Medical Group Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

15099 Kamana Rd
Apple Valley, CA 92307

1900 E Washington St
Colton, CA 92324
Phone (909) 825-3425

9834 Genesee Ave
Ste 200
La Jolla, CA 92037
Phone (858) 457-3050

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

40055 Bob Hope Dr
Ste J
Rancho Mirage, CA 92270
Phone (323) 442-7160

3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525

41877 Enterprise Cir N
Ste 110
Temecula, CA 92590
Phone (951) 296-2244

555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846

Interoperability endpoints

  • Direct secure messaging: mshaaf@pacificeyelaser.intellechartdirect.net

Organizations & group practices 3

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1952476004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40055 BOB HOPE DR",
            "address_2": "SUITE J",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703937",
            "telephone_number": "760-346-5005",
            "fax_number": "760-346-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40055 BOB HOPE DR",
            "address_2": "SUITE J",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703937",
            "telephone_number": "760-346-5005",
            "fax_number": "760-346-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAAF",
        "first_name": "MEHDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G86815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G868150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.