MIR M. MADANI M.D. A PROFESSIONAL MEDICAL CORPORATION
NPI 1073799979
Internal Medicine - Critical Care Medicine in Los Alamitos, CA
About Mir M. Madani M.d. A Professional Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIR M. MADANI M.D. A PROFESSIONAL MEDICAL CORPORATION (NPI 1073799979) is a healthcare organization registered as a critical care medicine in Los Alamitos, California and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through June 18, 2028 and lists Mir M Madani, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mir M. Madani M.d. A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mir M. Madani M.D. A Professional Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
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
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 Waiver 05D1000671
Mir M Madani MD · Los Alamitos, CAFrequently 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 Mir M. Madani M.D. A Professional Medical Corporation's NPI number?
The NPI number for Mir M. Madani M.D. A Professional Medical Corporation is 1073799979. It was assigned to this organization in the NPPES registry on January 10, 2008.
Where is Mir M. Madani M.D. A Professional Medical Corporation located?
Mir M. Madani M.D. A Professional Medical Corporation is located at 3801 Katella Ave Suite 310, Los Alamitos, CA 90720. The listed phone number is (562) 598-2141.
What is Mir M. Madani M.D. A Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Mir M. Madani M.D. A Professional Medical Corporation enrolled in Medicare?
Yes. Mir M. Madani M.D. A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mir M. Madani M.D. A Professional Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Critical Care (Intensivists)) reassigns their Medicare billing to Mir M. Madani M.D. A Professional Medical Corporation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mir M. Madani M.D. A Professional Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1000671) is associated with this NPI, valid through June 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mir M. Madani M.D. A Professional Medical Corporation was last updated on September 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mir M. Madani M.d. A Professional Medical Corporation · NPI 1073799979
Critical Care Medicine organization in Los Alamitos, California. Organization record, active in the CMS NPPES registry since January 10, 2008.
## Identity
- **NPI:** 1073799979 (Entity type: Organization)
- **Enumerated:** January 10, 2008
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **Organization subpart:** No
- **Authorized official:** Mir Madani, PRESIDENT
## Practice location
- **Address:** 3801 KATELLA AVE, SUITE 310, Los Alamitos, CA 90720-3338
- **Phone:** (562) 598-2141 · **Fax:** (562) 598-1649
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Critical Care (Intensivists)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2010
- **Other identifiers:** Medicare PIN W18103 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073799979) · Data from the CMS NPPES public registry.