| Bara Mouradi, MD | |
|
125 Metro Center Boulevard Suite 2000, Warwick, RI 02886 | |
| (401) 432-2520 | |
| (401) 453-8220 |
| Full Name | Bara Mouradi |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 24 Years |
| Location | 125 Metro Center Boulevard Suite 2000, Warwick, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821028705 | NPI | - | NPPES |
| 00A834340 | Other | CA | BS |
| 00A834340 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A83434 (California) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD12590 (Rhode Island) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fresno Imaging Center | 2466553128 | 68 |
| Beverly Radiology Medical Group Iii | 3476466376 | 307 |
| Desert Advanced Imaging Medical Center | 6406749613 | 157 |
| Kern Radiology Medical Group Inc | 7214826460 | 76 |
| Fresno Imaging Center | 2466553128 | 68 |
| Beverly Radiology Medical Group Iii | 3476466376 | 307 |
| Desert Advanced Imaging Medical Center | 6406749613 | 157 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20031106000784 |
| Entity Name | Valley Radiology Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396703179 PECOS PAC ID: 8022911809 Enrollment ID: O20040129000445 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20040202001145 |
| Entity Name | Kern Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700821972 PECOS PAC ID: 7214826460 Enrollment ID: O20040315000421 |
| Entity Name | Diagnostic Radiological Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710931910 PECOS PAC ID: 4981680220 Enrollment ID: O20040626000471 |
| Entity Name | Desert Advanced Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416147 PECOS PAC ID: 6406749613 Enrollment ID: O20050622001415 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20060221000914 |
| Entity Name | Stockton Diagnostic Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356538201 PECOS PAC ID: 0749386894 Enrollment ID: O20070507000122 |
| Entity Name | San Fernando Valley Interventional Radiology And Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942350889 PECOS PAC ID: 3476651431 Enrollment ID: O20070614000478 |
| Entity Name | Fresno Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659456499 PECOS PAC ID: 2466553128 Enrollment ID: O20070724000813 |
| Entity Name | Modesto Advanced Diagnostic Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730133893 PECOS PAC ID: 1850336736 Enrollment ID: O20080313000323 |
| Entity Name | Santa Rosa Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689890444 PECOS PAC ID: 2567408859 Enrollment ID: O20100324000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Bara Mouradi, MD 125 Metro Center Boulevard Suite 2000, Warwick, RI 02886 Ph: (401) 432-2520 | Bara Mouradi, MD 125 Metro Center Boulevard Suite 2000, Warwick, RI 02886 Ph: (401) 432-2520 |
Marcelle L Piccolello, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 125 Metro Center Blvd Ste 2000, Warwick, RI 02886 Phone: 401-432-2520 Fax: 401-453-8220 | |
David W Rowe, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 | |
Dr. Anthony G Bruzzese, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Toll Gate Rd, Ste 101a, Warwick, RI 02886 Phone: 401-738-3100 Fax: 401-738-8505 | |
Dr. Robert C Ward, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 125 Metro Center Blvd Ste 2000, Warwick, RI 02886 Phone: 401-432-2500 Fax: 401-453-8220 | |
Jeffrey D Potter, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 31 Bay Lawn Ave, Warwick, RI 02888 Phone: 401-941-6162 | |
Gaurav Jindal, Radiology Medicare: Accepting Medicare Assignments Practice Location: 125 Metro Center Blvd Ste 2000, Warwick, RI 02886 Phone: 401-432-2500 Fax: 401-921-9212 | |
Hanan Ibrahim Khalil, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 125 Metro Center Blvd Ste 2000, Warwick, RI 02886 Phone: 401-432-2520 Fax: 401-453-8220 |