Emad Mogadam, in Los Angeles, CA - Medicare Internal Medicine

Emad Mogadam, is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Los Angeles, California. His current practice location is 1513 S Grand Ave Ste 400, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (530) 208-9214.

Emad Mogadam is licensed to practice in California (license number A151414) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639520133.

Contact Information

	Emad Mogadam,
	1513 S Grand Ave Ste 400, Los Angeles, CA 90015-3075
	(530) 208-9214
	Not Available

Map and Direction

Physician's Profile

Full Name	Emad Mogadam
Gender	Male
Speciality	Internal Medicine - Interventional Cardiology
Location	1513 S Grand Ave Ste 400, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639520133
Provider Enumeration Date: 06/26/2016
Last Update Date: 06/24/2025

Medicare PECOS Information:

PECOS PAC ID: 2769877307
Enrollment ID: I20231115001672

Medical Identifiers

Medical identifiers for Emad Mogadam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639520133	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	24198 (New Hampshire)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	A151414 (California)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	26369 (Nevada)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	A151414 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Emad Mogadam allows following entities to bill medicare on his behalf.

Entity Name	Mary Hitchcock Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258

Entity Name	Dartmouth-hitchcock Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emad Mogadam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Emad Mogadam, 1360 S Figueroa St Ste D-282, Los Angeles, CA 90015-2873 Ph: (716) 200-2771	Emad Mogadam, 1513 S Grand Ave Ste 400, Los Angeles, CA 90015-3075 Ph: (530) 208-9214

Reviews and Comments

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Emad Mogadam, - Medicare Internal Medicine in Los Angeles, CA