NPIMap

Individual provider Active NPI

Raed Bargout, MD

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1962498410
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C53521 Issued in CA
Practice address
1300 N Vermont Ave
401
Los Angeles, CA 90027-6005
Phone
(323) 664-6535
NPI assigned
Sep 21, 2005
Last updated
Apr 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C53521 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave
401
Los Angeles, CA 90027-6005

Mailing address

1300 N Vermont Ave
401
Los Angeles, CA 90027-6005
Phone (323) 664-6535

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
I20100205000518 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2769466044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartbeat Cardiovascular Medical GroupGroup PAC ID 0840258778, 9 clinicians

Practice addresses (Care Compare)

660 W Broadway
Glendale, CA 91204-1008
Phone (818) 243-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Varicose vein removal20

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
C53521CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartbeat Cardiovascular Medical Group Cardiovascular Disease CurrentSince May 1, 2014 Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

1809 Verdugo Blvd
Ste 220
Glendale, CA 91208
Phone (818) 495-7041

660 W Broadway
Glendale, CA 91204
Phone (818) 243-9600

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1300 N Vermont Ave
Ste 1009
Los Angeles, CA 90027
Phone (323) 666-6210

1300 N Vermont Ave
Ste 401
Los Angeles, CA 90027
Phone (323) 448-0334

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rxb109pcs@m580.primeclinicalsystems.direct-ci.com

Organizations & group practices 6

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 2

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1962498410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-664-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-664-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGOUT",
        "first_name": "RAED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C53521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.