JAMAL RAJI MOGANNAM MD
NPI 1053483891
Internal Medicine - Nephrology in Walnut Creek, CA
About Jamal Raji Mogannam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMAL RAJI MOGANNAM MD (NPI 1053483891) is an individual nephrology provider in Walnut Creek, California, licensed in California (G62129) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jamal Raji Mogannam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94596 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALNUT CREEK, CA 94596
WALNUT CREEK, CA 94596
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 Jamal Mogannam's NPI number?
The NPI number for Jamal Mogannam is 1053483891. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Jim Mogannam.
Where is Jamal Mogannam located?
Jamal Mogannam practices at 1425 S Main St, Walnut Creek, CA 94596. The listed phone number is (925) 295-4000.
What is Jamal Mogannam's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Jamal Mogannam enrolled in Medicare?
Yes. Jamal Mogannam is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jamal Mogannam was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jamal Raji Mogannam, MD · NPI 1053483891
Nephrology physician in Walnut Creek, California. Individual provider, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1053483891 (Entity type: Individual)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** G62129 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1425 S MAIN ST, Walnut Creek, CA 94596-5318
- **Phone:** (925) 295-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 10, 2022
- **Other identifiers:** Medicaid 00G621290 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1053483891) · Data from the CMS NPPES public registry.