MR. EHSSAN POUR RAMEZANI
NPI 1063157147
Internal Medicine in Ridgecrest, CA

Q: What is Ehssan Pour Ramezani's NPI number?

The NPI number for Ehssan Pour Ramezani is 1063157147. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Q: What is Ehssan Pour Ramezani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 03, 2022PECOS EnrolledAccepts Medicare Assignment

1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555(760) 499-3899 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2025, Mar 13, 2023, May 3, 2022 (3 updates tracked since 2022).

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About Mr. Ehssan Pour Ramezani NPPES

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

MR. EHSSAN POUR RAMEZANI (NPI 1063157147) is an individual internal medicine provider in Ridgecrest, California, licensed in California (A201362) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1063157147

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMR. EHSSAN POUR RAMEZANI

Location Address1081 N CHINA LAKE BLVDRidgecrest, CA 93555-3130

Mailing Address1081 N China Lake BlvdRidgecrest, CA 93555-3130 · (760) 499-3899

Phone(760) 499-3899

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 3, 2022

Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1063157147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A201362

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1081 N CHINA LAKE BLVD, Ridgecrest, CA 93555

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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

Mr. Ehssan Pour Ramezani 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 ID4789180191

PECOS Enrollment IDI20251003003069

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 Reassignment

Medicare enrollment records show Ehssan Pour Ramezani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ridgecrest Regional Hospital

Same address

Critical Access

1081 N CHINA LAKE BLVD
Ridgecrest, CA 93555

Reassigned Medicare billing, California enrollment
143 clinicians in this Medicare group

NPI 1447253125 (760) 446-3551

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93555 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

$135.05 typical visit price

range $59.26 – $178.09

Typical copayment $33.76 (range $14.81 – $44.52)

Most-billed visit code 99204

Established Patient

$104.09 typical visit price

range $19.34 – $145.64

Typical copayment $26.02 (range $4.83 – $36.41)

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.

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.

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