AVICCENNA MEDICAL GROUP
NPI 1124264635
Internal Medicine - Nephrology in Beverly Hills, CA
About Aviccenna Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVICCENNA MEDICAL GROUP (NPI 1124264635) is a healthcare organization registered as a nephrology in Beverly Hills, California and active in the NPI registry since January 2009. The organization lists Seyed Farhad N Chimeh, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Aviccenna Medical Group 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 Aviccenna Medical Group, 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.
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 Aviccenna Medical Group's NPI number?
The NPI number for Aviccenna Medical Group is 1124264635. It was assigned to this organization in the NPPES registry on January 5, 2009.
Where is Aviccenna Medical Group located?
Aviccenna Medical Group is located at 435 N Bedford Dr Suite # 312, Beverly Hills, CA 90210. The listed phone number is (310) 858-1800.
What is Aviccenna Medical Group's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Aviccenna Medical Group enrolled in Medicare?
Yes. Aviccenna Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Aviccenna Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Aviccenna Medical Group. 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.
When was this NPI record last updated?
The NPPES record for Aviccenna Medical Group was last updated on July 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Aviccenna Medical Group · NPI 1124264635
Nephrology organization in Beverly Hills, California. Organization record, active in the CMS NPPES registry since January 5, 2009.
## Identity
- **NPI:** 1124264635 (Entity type: Organization)
- **Enumerated:** January 5, 2009
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Seyed Farhad Chimeh, PRESIDENT
## Practice location
- **Address:** 435 N BEDFORD DR, SUITE # 312, Beverly Hills, CA 90210-4321
- **Phone:** (310) 858-1800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2009
- **Other identifiers:** Medicare UPIN H94109; Medicaid 2074290 (CA); Medicare PIN A100198 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1124264635) · Data from the CMS NPPES public registry.