DR. BABAK HOOSHMAND M.D.
NPI 1023380086
Internal Medicine - Infectious Disease in Las Vegas, NV

Q: What is Babak Hooshmand's NPI number?

The NPI number for Babak Hooshmand is 1023380086. It was assigned to this individual provider in the NPPES registry on February 6, 2012.

Q: What is Babak Hooshmand's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Babak Hooshmand was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since February 06, 2012PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

4472 S EASTERN AVE, LAS VEGAS, NV 89119(725) 705-2739(702) 331-2035 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 13, 2024, Apr 1, 2020, Jul 2, 2019 (3 updates tracked since 2019).

On this page

About Dr. Babak Hooshmand M.d. NPPES

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

DR. BABAK HOOSHMAND M.D. (NPI 1023380086) is an individual infectious disease provider in Las Vegas, Nevada, licensed in Nevada (14717) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1023380086

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDR. BABAK HOOSHMANDCredential: M.D.

Location Address4472 S EASTERN AVELas Vegas, NV 89119-7825

Mailing AddressPo Box 530815Henderson, NV 89053-0815 · (725) 705-2739 · Fax (702) 331-2035

Phone(725) 705-2739

Fax(702) 331-2035

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateFebruary 6, 2012

Last NPPES UpdateSeptember 13, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1023380086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in NV · 14717

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 14717 (NV), AS3062508-60 (MI)

4472 S EASTERN AVE, Las Vegas, NV 89119

Open in Google Maps ↗

Other Identifiers 1

Medicaid1023380086NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Babak Hooshmand M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476787458

PECOS Enrollment IDI20131007000000

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Babak Hooshmand reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Babak Hooshmand MD PLLC

Same address

Internal Medicine

4472 S EASTERN AVE
Las Vegas, NV 89119

Reassigned Medicare billing, Nevada enrollment
14 clinicians in this Medicare group

NPI 1588120240 (702) 844-6333

Ronald A Shockley MD A Professional Corporation

1.2 mi

Infectious Disease

3483 S EASTERN AVE
Las Vegas, NV 89169

Reassigned Medicare billing, Nevada enrollment
8 clinicians in this Medicare group

NPI 1861539652 (702) 309-2311

Comprehensive Infectious Disease Of Nevada

5.9 mi

Infectious Disease

801 S RANCHO DR STE B
Las Vegas, NV 89106

Reassigned Medicare billing, Nevada enrollment
11 clinicians in this Medicare group

NPI 1275102832 (702) 844-6333

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,775 services448 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

761 services646 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

590 services312 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

54 services53 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

26 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services15 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV

1/5 CMS rating

OwnershipProprietary

CMS Certification Number290003

Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County

Emergency services

Mountainview Hospital

Acute Care Hospitals · Las Vegas, NV

4/5 CMS rating

OwnershipProprietary

CMS Certification Number290039

Location3100 N Tenaya WayLas Vegas, NV 89128 · Clark County

Emergency services Birthing friendly

Spring Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number290046

Location5400 South Rainbow BlvdLas Vegas, NV 89118 · Clark County

Emergency services Birthing friendly

Southern Hills Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV

4/5 CMS rating

OwnershipProprietary

CMS Certification Number290047

Location9300 West Sunset RdLas Vegas, NV 89148 · Clark County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

91%149 patients3/55-star benchmark: 99%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANALYN VELASCO INCIONG

Nurse Practitioner (Family)