DR. ALI FARROKH M.D.
NPI 1164750170
Internal Medicine - Pulmonary Disease in Thousand Oaks, CA

Active since December 02, 2009PECOS EnrolledAccepts Medicare Assignment
12.57/100
CMS Quality Rating
555 MARIN ST STE 110, THOUSAND OAKS, CA 91360(805) 496-0440(805) 496-9808 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2018, Mar 17, 2018, Nov 20, 2017 (3 updates tracked since 2017).

About Dr. Ali Farrokh M.d. NPPES

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

DR. ALI FARROKH M.D. (NPI 1164750170) is an individual pulmonary disease provider in Thousand Oaks, California, licensed in California (A117693) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1164750170
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ALI FARROKHCredential: M.D.
Location Address555 MARIN ST STE 110Thousand Oaks, CA 91360
Mailing Address555 Marin St Ste 110Thousand Oaks, CA 91360-4102 · (310) 909-3469 · Fax (805) 496-9808
Fax(805) 496-9808
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 2, 2009
Last NPPES UpdateJuly 17, 20183 updates tracked since enumeration
NPI 1164750170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in CA · A117693 Licensed in NY · 263761
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 MedicineTaxonomy 207R00000X · License 263761 (NY), A117693 (CA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A117693 (CA), 263761 (NY)
555 MARIN ST STE 110, Thousand Oaks, CA 91360

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ali Farrokh 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.

PECOS PAC ID3577793348
PECOS Enrollment IDI20140828000157
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 6

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.

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.
1,336 services385 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
723 services202 patients
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.
669 services219 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services15 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
14 services11 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91360 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

12.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost41.91

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
89%81 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%28 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 14

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
2 suppliers37 claims37 services$34.00 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers13 claims13 services$69.16 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers13 claims38 services$27.44 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier17 claims102 services$15.19 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers13 claims78 services$13.37 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
2 suppliers33 claims33 services$45.18 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
555 MARIN ST STE 110
THOUSAND OAKS, CA 91360

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 Ali Farrokh's NPI number?

The NPI number for Ali Farrokh is 1164750170. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Where is Ali Farrokh located?

Ali Farrokh practices at 555 Marin St Ste 110, Thousand Oaks, CA 91360. The listed phone number is (805) 496-0440.

What is Ali Farrokh's specialty?

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

Is Ali Farrokh enrolled in Medicare?

Yes. Ali Farrokh 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.

When was this NPI record last updated?

The NPPES record for Ali Farrokh was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.