Mouhamed Ali Farhat, MD
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Bell, CA
NPI 1982800751 · NPPES record last updated Sep 17, 2009
Key facts
- NPI
- 1982800751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- A97622 (CA)
- Practice address
- 4019 Brompton Ave
Bell, CA 90201-3419 - Phone
- (323) 369-8588
- NPI assigned
- Jun 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newport Critical Care Physicians Medical Group Inc
Practice addresses (Care Compare)
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 764-4624
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101115000063 | CA | Practitioner - Critical Care (Intensivists) |
4587859707 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97622 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Critical Care Physicians Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
Locations
1 Hoag Dr
Ofc
Newport Beach, CA 92663
Phone (949) 764-6875
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A97622 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A97622 | CA | Yes |
| Pulmonary Disease Physician | 207RP1001X | A97622 | CA |
Addresses
Primary practice location
4019 Brompton Ave
Bell, CA 90201-3419
Mailing address
4019 Brompton Ave
Bell, CA 90201-3419
Phone (323) 369-8588
Other providers in Bell, CA
- Karen Frances Eisenhofer
- Eric Roberto Batres Medical Corporation
- Es RX Inc
- Jaime Estrada
- Khadiga Farhat
- Keily Figueroa
- Maritza Edith Flores
- Jesica Jimena Franco
- Fratt Dental Corporation
- Joseph Manuel Fuentes
All providers in Bell, CA · Critical Care Medicine (Internal Medicine) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.