DR. EHSAN GHETMIRI M.D.
NPI 1083908396
Hospitalist in Fullerton, CA
About Dr. Ehsan Ghetmiri M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EHSAN GHETMIRI M.D. (NPI 1083908396) is an individual hospitalist provider in Fullerton, California, licensed in California (A127383) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Irvine, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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. Ehsan Ghetmiri 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ehsan Ghetmiri reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brea, CA 92821
- Reassigned Medicare billing, California enrollment
- 1,699 clinicians in this Medicare group
Los Alamitos, CA 90720
- Reassigned Medicare billing, California enrollment
- 228 clinicians in this Medicare group
Redlands, CA 92373
- Reassigned Medicare billing, California enrollment
- 635 clinicians in this Medicare group
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FULLERTON, CA 92835
FULLERTON, CA 92835
FULLERTON, CA 92835
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 Ehsan Ghetmiri's NPI number?
The NPI number for Ehsan Ghetmiri is 1083908396. It was assigned to this individual provider in the NPPES registry on June 3, 2011.
Where is Ehsan Ghetmiri located?
Ehsan Ghetmiri practices at 101 E Valencia Mesa Dr, Fullerton, CA 92835. The listed phone number is (714) 992-3969.
What is Ehsan Ghetmiri's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Ehsan Ghetmiri enrolled in Medicare?
Yes. Ehsan Ghetmiri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ehsan Ghetmiri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ehsan Ghetmiri reassigns Medicare benefits to 3 organizations: Providence Medical Foundation (Brea, CA), Centers For Family Medicine Gp (Los Alamitos, CA) and Beaver Medical Group P C (Redlands, CA). Each 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 Ehsan Ghetmiri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ehsan Ghetmiri was last updated on January 23, 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.
# Dr. Ehsan Ghetmiri, M.D. · NPI 1083908396
Hospitalist physician in Fullerton, California. Individual provider, active in the CMS NPPES registry since June 3, 2011.
## Identity
- **NPI:** 1083908396 (Entity type: Individual)
- **Enumerated:** June 3, 2011
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** A127383 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 E VALENCIA MESA DR, Fullerton, CA 92835-3809
- **Phone:** (714) 992-3969
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Providence Medical Foundation (NPI 1871607762, Brea, CA); Centers For Family Medicine Gp (NPI 1467598243, Los Alamitos, CA); Beaver Medical Group P C (NPI 1649503319, Redlands, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** January 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083908396) · Data from the CMS NPPES public registry.