FADY KADIFA M.D.
NPI 1083711014
Internal Medicine - Pulmonary Disease in Laguna Hills, CA

Active since September 20, 2006PECOS Enrolled
89.48/100
CMS Quality Rating
24411 HEALTH CENTER DR, STE 560, LAGUNA HILLS, CA 92653(949) 452-0061 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fady Kadifa M.d. NPPES

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

FADY KADIFA M.D. (NPI 1083711014) is an individual pulmonary disease provider in Laguna Hills, California, licensed in California (A50822) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1083711014
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameFADY KADIFACredential: M.D.
Location Address24411 HEALTH CENTER DR, STE 560Laguna Hills, CA 92653-3651
Mailing AddressPo Box 7630Laguna Niguel, CA 92607-7630
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateSeptember 20, 2006
Last NPPES UpdateDecember 20, 2012
NPI 1083711014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · A50822
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A50822 (CA)
24411 HEALTH CENTER DR, Laguna Hills, CA 92653

Other Identifiers 4

Medicare PINWA50822LCA
Medicaid00A508220CA
Medicare UPINE27040CA
OtherP00229594Medicare Railroad

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fady Kadifa M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941194112
PECOS Enrollment IDI20040209001290
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.

Areas of Expertise CMS Part B claims 16

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 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.
766 services214 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
373 services140 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
244 services163 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.
195 services174 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
73 services71 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
70 services67 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

89.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality68.16
Improvement Activities40
Cost87.04

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%25 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
44%91 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%38 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
86%1,137 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%570 patients1/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%39 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%714 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%870 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 35% · 265 patients
32%265 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%97 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 586 patients
Patients totalRate: 0% · 586 patients
0%586 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers37 claims37 services$33.86 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers24 claims116 services$15.88 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers26 claims156 services$12.88 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers48 claims48 services$43.41 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers28 claims28 services$14.82 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers14 claims14 services$10.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
24411 HEALTH CENTER DR, #510
LAGUNA HILLS, CA 92653
Licensed Practical Nurse
24411 HEALTH CENTER DR, SUITE 200
LAGUNA HILLS, CA 92653
Surgery (Vascular Surgery)
24411 HEALTH CENTER DR, SUITE 350
LAGUNA HILLS, CA 92653
Thoracic Surgery (Cardiothoracic Vascular Surgery)
24411 HEALTH CENTER DR, SUITE 680
LAGUNA HILLS, CA 92653
Physician Assistant (Surgical)
24411 HEALTH CENTER DR, STE 350
LAGUNA HILLS, CA 92653
Obstetrics & Gynecology
24411 HEALTH CENTER DR, SUITE 200
LAGUNA HILLS, CA 92653
Clinic/Center (Health Service)
24411 HEALTH CENTER DR, SUITE 530
LAGUNA HILLS, CA 92653
Obstetrics & Gynecology
24411 HEALTH CENTER DR, SUITE 640
LAGUNA HILLS, CA 92653

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 Fady Kadifa's NPI number?

The NPI number for Fady Kadifa is 1083711014. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Fady Kadifa located?

Fady Kadifa practices at 24411 Health Center Dr Ste 560, Laguna Hills, CA 92653. The listed phone number is (949) 452-0061.

What is Fady Kadifa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Fady Kadifa enrolled in Medicare?

Yes. Fady Kadifa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fady Kadifa was last updated on December 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.