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EISENHOWER MEDICAL CENTER
NPI 1003758665
General Acute Care Hospital in Rancho Mirage, CA

Active since April 06, 2026CLIA Certified · 5 labs
71943 HIGHWAY 111, RANCHO MIRAGE, CA 92270(760) 834-7982(760) 834-7981 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eisenhower Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EISENHOWER MEDICAL CENTER (NPI 1003758665) is a healthcare organization registered as a general acute care hospital in Rancho Mirage, California and active in the NPI registry since April 2026. The organization holds 5 active CLIA laboratory certificates and lists Martin Joseph Massiello, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1003758665
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameEISENHOWER MEDICAL CENTER
Location Address71943 HIGHWAY 111Rancho Mirage, CA 92270-4848
Mailing Address39000 Bob Hope DrRancho Mirage, CA 92270-3202 · (760) 834-7982 · Fax (760) 834-7981
Phone(760) 834-7982
Fax(760) 834-7981
Organization SubpartYes
Authorized OfficialMartin Joseph MassielloPresident/ceo · (760) 773-1228
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1003758665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
71943 HIGHWAY 111, Rancho Mirage, CA 92270
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eisenhower Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

592

Medicare enrollment records show 592 clinicians reassign Medicare billing to Eisenhower Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 464 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 47

Nurse Practitioner93
Emergency Medicine87
Internal Medicine60
Family Practice56
Anesthesiology51
Hospitalist33
Cardiovascular Disease (Cardiology)18
Obstetrics/Gynecology16
39 other specialties178

Nearest to this location (20)

See all 592
Eduardo Garza, M.D.
Obstetrics/Gynecology
NPI 1053371690
71943 HIGHWAY 111
Rancho Mirage, CA 92270
(760) 834-7982
✔ PECOS✔ Accepts MedicareSame address
Sarah Mcintosh
Nurse Practitioner
NPI 1790297174
71943 HIGHWAY 111
Rancho Mirage, CA 92270
(760) 834-7982
✔ PECOS✔ Accepts MedicareSame address
Jose Muniz Castro, M.D.
Colorectal Surgery (Proctology)
NPI 1841723657
71943 HIGHWAY 111
Rancho Mirage, CA 92270
(607) 767-6007
✔ PECOS✔ Accepts Medicare0.1 mi
Justin Reckard, MD
General Surgery
NPI 1164470480
71943 HIGHWAY 111
Rancho Mirage, CA 92270
(760) 776-7600
✔ PECOS✔ Accepts Medicare0.1 mi
Paige Dubin
Internal Medicine
NPI 1134758774
41750 RANCHO LAS PALMAS DR STE F2
Rancho Mirage, CA 92270
(442) 274-2570
✔ PECOS✔ Accepts Medicare0.3 mi
Davood Vafai, M.D.
Medical Oncology
NPI 1629066220
40075 BOB HOPE DR SUITE A
Rancho Mirage, CA 92270
(760) 341-3688
✔ PECOS✔ Accepts Medicare1.3 mi
Asnakech Bayable, MD
Hematology/Oncology
NPI 1881198778
40075 BOB HOPE DR STE A
Rancho Mirage, CA 92270
(760) 341-3688
✔ PECOS✔ Accepts Medicare1.3 mi
Raeanne Holder, NP
Nurse Practitioner
NPI 1326774258
40075 BOB HOPE DR STE A
Rancho Mirage, CA 92270
(760) 341-3688
✔ PECOS✔ Accepts Medicare1.3 mi
Massoud Dezfuli, D.O.
Infectious Disease
NPI 1598861866
39700 BOB HOPE DR SUITE 108
Rancho Mirage, CA 92270
(760) 834-3545
✔ PECOS✔ Accepts Medicare1.5 mi
Steve Choe, M.D.
General Surgery
NPI 1306074034
39000 BOB HOPE DR
Rancho Mirage, CA 92270
(760) 837-8601
✔ PECOS✔ Accepts Medicare1.6 mi
Vincent Devlin, DO, MHS
Allergy/Immunology
NPI 1871910752
39000 BOB HOPE DR
Rancho Mirage, CA 92270
(760) 346-2070
✔ PECOS✔ Accepts Medicare1.6 mi
Rodrigo Herreros, M.D.
Anesthesiology
NPI 1528084027
39000 BOB HOPE DR
Rancho Mirage, CA 92270
(760) 340-3911
✔ PECOS1.6 mi
Michael Hetzel
Emergency Medicine
NPI 1164983938
39000 BOB HOPE DR
Rancho Mirage, CA 92270
(760) 340-3911
✔ PECOS✔ Accepts Medicare1.6 mi
Justin Ireifej, MD
Hospitalist
NPI 1578121133
39000 BOB HOPE DR
Rancho Mirage, CA 92270
(760) 340-3911
✔ PECOS✔ Accepts Medicare1.6 mi
Jonathan Kallis, LCSW
Clinical Social Worker
NPI 1629017868
39000 BOB HOPE DR
Rancho Mirage, CA 92270
(760) 837-8767
✔ PECOS✔ Accepts Medicare1.6 mi
Sarah Maher, M.D.
Gastroenterology
NPI 1609253475
39000 BOB HOPE DR
Rancho Mirage, CA 92270
(760) 773-2882
✔ PECOS✔ Accepts Medicare1.6 mi
Michael Manious
Internal Medicine
NPI 1639632466
39000 BOB HOPE DR
Rancho Mirage, CA 92270
(760) 340-3911
✔ PECOS✔ Accepts Medicare1.6 mi
Mehul Patel, M.D.
Pulmonary Disease
NPI 1427501154
39000 BOB HOPE DR
Rancho Mirage, CA 92270
(760) 834-3564
✔ PECOS✔ Accepts Medicare1.6 mi
Chanaka Wickramasinghe, M.D
Cardiovascular Disease (Cardiology)
NPI 1174840680
39000 BOB HOPE DRIVE HAL B. WALLIS BLDG
Rancho Mirage, CA 92270
(760) 346-0642
✔ PECOS✔ Accepts Medicare1.6 mi
Jeffrey Burkeen, M.D.
Radiation Oncology
NPI 1073932877
39000 BOB HOPE DR
Rancho Mirage, CA 92270
(760) 674-3600
✔ PECOS✔ Accepts Medicare1.6 mi
See all 592 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D2141586

Eisenhower Medical Center -Dermatology & Mohs Center · Rancho Mirage, CA
Active · expires Mar 26, 2027
CLIA Number05D2141586
Laboratory TypeDerm & Mohs Clinic
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Keyan Matinpour
Laboratory Phone(760) 834-3702
Laboratory LocationEisenhower Medical Center -Dermatology & Mohs Center39000 Bob Hope Dr, Salta Health Cntr, Uihlein Bldg, Rancho Mirage, CA 92270
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 05D0921371

Eisenhower Medical Center · Rancho Mirage, CA
Active · expires Mar 7, 2027
CLIA Number05D0921371
Laboratory TypeHospital
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorDr. Koushan Siami Namini
Laboratory Phone(760) 773-2012
Laboratory LocationEisenhower Medical Center39000 Bob Hope Dr, Rancho Mirage, CA 92270
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 05D0572738

Eisenhower Medical Center Pulm Svcs Blood Gas · Rancho Mirage, CA
Active · expires Feb 27, 2027
CLIA Number05D0572738
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Koushan Siami-Namini
Laboratory Phone(760) 837-8100
Laboratory LocationEisenhower Medical Center Pulm Svcs Blood Gas39000 Bob Hope Dr, Rancho Mirage, CA 92270
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 05D0572804

Eisenhower Medical Center/Main Lab · Rancho Mirage, CA
Active · expires Feb 27, 2027
CLIA Number05D0572804
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Koushan Siami-Namini
Laboratory Phone(760) 773-2012
Laboratory LocationEisenhower Medical Center/Main Lab39000 Bob Hope Drive, Rancho Mirage, CA 92270
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1066364

Eisenhower Medical Center · Rancho Mirage, CA
Active · expires Mar 28, 2027
CLIA Number05D1066364
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorDr. Koushan Siami Namini
Laboratory Phone(760) 837-8330
Laboratory LocationEisenhower Medical Center72-780 Country Club Dr Attn Quality Dept, Rancho Mirage, CA 92270
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eisenhower Medical Center's NPI number?

The NPI number for Eisenhower Medical Center is 1003758665. It was assigned to this organization in the NPPES registry on April 6, 2026.

Where is Eisenhower Medical Center located?

Eisenhower Medical Center is located at 71943 Highway 111, Rancho Mirage, CA 92270. The listed phone number is (760) 834-7982.

What is Eisenhower Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Eisenhower Medical Center enrolled in Medicare?

Yes. Eisenhower Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eisenhower Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 592 clinicians in 47 Medicare specialties reassign their Medicare billing to Eisenhower Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (93), Emergency Medicine (87) and Internal Medicine (60). Of these, 2 practice at this address and 464 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eisenhower Medical Center hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Eisenhower Medical Center was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.