DR. ZIA AHMAD DEHQANZADA M.D. NPI 1003015652

Surgery in Apo, AE

NPI 1003015652 Individual Male Years of Experience 22 Surgery PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 100 Medicare Quality Reporting

NPI Profile for DR. ZIA AHMAD DEHQANZADA M.D.

Zia Dehqanzada is a provider established in Apo, and his medical specialization is surgery with more than 22 years of experience. He graduated from University Of Kansas School Of Med (kc/wich/sal) in 2001. The NPI number of Zia Dehqanzada is 1003015652 and was assigned on July 2007. The practitioner's primary taxonomy code is 208600000X with license number 0101233249 (VA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

A surgeon like Dr. Zia Ahmad Dehqanzada M.d. treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Zia Dehqanzada is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Zia Dehqanzada is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Sutter Roseville Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record.

NPI

1003015652

Provider NameDR. ZIA AHMAD DEHQANZADA M.D.
Provider Location AddressCMR 442 BOX 291 APO, AE 09042
Provider Mailing Address359 REDWING DR WOODLAND, CA 95695
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year2001
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date07-13-2007
Last Update Date08-11-2011


Primary Taxonomy

Taxonomy Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.0101233249
License StateVA
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Business Address

DR. ZIA AHMAD DEHQANZADA M.D.
CMR 442
BOX 291
APO, AE
ZIP 09042
Phone:
Fax:

Get Directions


Mailing Address

DR. ZIA AHMAD DEHQANZADA M.D.
359 REDWING DR
WOODLAND, CA
ZIP 95695
Phone: (916) 817-7268



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID6103099023
PECOS Enrollment IDI20130810000092
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
- Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:- Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);- Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/orProvision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Zia Dehqanzada is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SUTTER ROSEVILLE MEDICAL CENTERONE MEDICAL PLAZA
ROSEVILLE, CA 95661
(916) 781-1000Acute Care Hospitals50309

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003015652
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030110610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 6 + 1 + 0 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1003015652 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174508899 MARY LOUISE HOSCH LCSW
Individual
Social Worker (Clinical)CMR 442
APO, AE 09042
1881671550MS. KATHLEEN MARIE EWERS CRNA
Individual
Nurse Anesthetist, Certified RegisteredCMR 442 BOX678
APO, AE 09042
(720) 240-9851
1447239058 JOHN J COMBS M.D.
Individual
Radiology (Diagnostic Radiology)CMR 442
APO, AE 09042
1982663035MR. DAVID FRANCIS MCCORMICK CRNA
Individual
Nurse Anesthetist, Certified RegisteredCMR 442
APO, AE 09042
1982663936DR. STEVE M MORRIS M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)CMR 442 BOX 493
APO, AE 09042
1982669511DR. STEPHEN MICHAEL KEESEE D.D.S.
Individual
Dentist (Prosthodontics)CMR 442 HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE
APO AE, NY 09042
(622) 784-2844
1174588248DR. LEIGH VONWALD DDS, MS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)CMR 442 HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE
APO, AE 09042
(622) 117-2728
1609832567MS. CAROL LYNN SCHRIMP
Individual
Social Worker (Clinical)CMR 442
APO, AE 09042
(622) 117-2339
1679539126MRS. DIANNE LEIGH HELINSKI RD, LD, MHPE
Individual
Dietitian, RegisteredCMR 442 BOX 555
APO, AE 09042
1205892528DR. FRANKLIN ENNIS TUTTLE DDS
Individual
Dentist (General Practice)CMR 442 HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE
APO AE, NY 09042
(622) 117-2728
1093771305DR. DANIEL ULRICH HENDRICKS DDS
Individual
Dentist (General Practice)CMR 442 HEIDELBERG DENTAL ACTIVITY
APO AE, NY 09042
(622) 175-9500
1407812977DR. DEAN STUART UYENO D.D.S.
Individual
Dentist (General Practice)CMR 442 HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE
APO AE, NY 09042
(622) 117-2728
1801853841DR. OLAF R LUKOWSKI DDS
Individual
Dentist (General Practice)CMR 442 HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE
APO AE, NY 09042
(622) 117-2288
1871550814DR. JOAN RUBINO DDS
Individual
Dentist (General Practice)CMR 442 HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE
APO AE, NY 09042
(622) 117-2288
1871550848DR. BENJAMIN THOMPSON COOK DMD
Individual
Dentist (General Practice)CMR 442 HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE
APO AE, NY 09042
(062) 211-7228
1205893294MS. ALLYN MCGRATH MS/SLP CCC
Individual
Speech-Language PathologistCMR 442
APO, AE 09042
1992762934DR. STEPHEN ANDREW MOLINARO DMD
Individual
Dentist (General Practice)CMR 442 HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE
APO AE, NY 09042
(622) 117-2288
1063479780 JULLIAN T ADAMS PSYD
Individual
Psychologist (Clinical)CMR 442
APO, AE 09042
1104883719DR. JOHN KIMO TSUNEHIRO DDS
Individual
Dentist (General Practice)CMR 442 HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE
APO AE, NY 09042
(622) 117-2288
1992762579DR. RICHARD L PARSONS D.M.D.
Individual
Dentist (General Practice)CMR 442 HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE
APO AE, NY 09042
(062) 211-7228

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Zia Ahmad Dehqanzada M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.