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KAVEH BAGHERI M.D.
NPI 1174542252
Internal Medicine - Pulmonary Disease in La Mesa, CA

Active since July 19, 2006PECOS EnrolledCLIA 05D0907137 · Waiver
77.82/100
CMS Quality Rating
8860 CENTER DRIVE, SUITE 240, LA MESA, CA 91942(619) 589-2535(619) 589-8042 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kaveh Bagheri M.d. NPPES

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

KAVEH BAGHERI M.D. (NPI 1174542252) is an individual pulmonary disease provider in La Mesa, California, licensed in California (A52496) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 15, 2026, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1174542252
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameKAVEH BAGHERICredential: M.D.
Location Address8860 CENTER DRIVE, SUITE 240La Mesa, CA 91942-7000
Mailing AddressPo Box 2250La Mesa, CA 91943-2250
Phone(619) 589-2535
Fax(619) 589-8042
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 19, 2006
Last NPPES UpdateOctober 11, 2013
✔ NPI 1174542252 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 · A52496
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 A52496 (CA)
8860 CENTER DRIVE, La Mesa, CA 91942
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF83760CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8527953785
PECOS Enrollment IDI20100223000215
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kaveh Bagheri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaveh Bagheri, MD Incorporated
Same address
Specialist
8860 CENTER DR, SUITE 240
La Mesa, CA 91942
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1982829800 (619) 589-2535
Emergency And Acute Care Medical Corporation
8.6 mi
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
NPI 1437103942 (858) 939-3400

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 05D0907137

Kaveh Bagheri, MD · La Mesa, CA
Active · expires Dec 15, 2026
CLIA Number05D0907137
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorKaveh Bagheri MD
Laboratory Phone(619) 589-2535
Laboratory LocationKaveh Bagheri, MD8860 Center Dr Ste 240, La Mesa, CA 91942
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.

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.
1,041 services511 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
474 services380 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
297 services296 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
297 services296 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.
293 services292 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
235 services235 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality47.5
Promoting Interoperability80
Improvement Activities40
Cost69.95

Reported Quality Measures

Breast Cancer Screening
0%398 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%199 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%861 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
46%81 patients3/55-star benchmark: 91%
e-Prescribing
99%2,020 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%1,187 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%518 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 6% · 947 patients
5%947 patients
Provide Patients Electronic Access to Their Health Information
28%1,622 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,228 patients
Patients totalRate: 0% · 1,228 patients
0%1,228 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 25

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
7 suppliers28 claims28 services$30.92 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers18 claims34 services$1.24 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers31 claims31 services$71.38 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers24 claims65 services$27.84 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers21 claims98 services$14.97 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers28 claims151 services$12.77 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 4

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

ALI BANAIE M.D.
Internal Medicine (Gastroenterology)
8860 CENTER DRIVE, SUITE 420
LA MESA, CA 91942
San Diego County (619) 469-5400
BANAIE MEDICAL CORPORATION
Internal Medicine (Gastroenterology)
8860 CENTER DRIVE, SUITE 420
LA MESA, CA 91942
San Diego County (619) 469-5400
ROBERT A BRENNER
Internal Medicine (Gastroenterology)
8860 CENTER DRIVE, SUITE 420
LA MESA, CA 91942
San Diego County (619) 469-5400
DR. LUIS C. CAJAS-MONSON M.D.
Surgery (Vascular Surgery)
8860 CENTER DRIVE, SUITE 450
LA MESA, CA 91942
San Diego County (619) 460-6200

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 Kaveh Bagheri's NPI number?

The NPI number for Kaveh Bagheri is 1174542252. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Kaveh Bagheri located?

Kaveh Bagheri practices at 8860 Center Drive Suite 240, La Mesa, CA 91942. The listed phone number is (619) 589-2535.

What is Kaveh Bagheri's specialty?

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

Is Kaveh Bagheri enrolled in Medicare?

Yes. Kaveh Bagheri is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kaveh Bagheri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaveh Bagheri reassigns Medicare benefits to 2 organizations: Kaveh Bagheri, MD Incorporated (La Mesa, CA) and Emergency And Acute Care Medical Corporation (San Diego, 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 Kaveh Bagheri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Kaveh Bagheri hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0907137) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kaveh Bagheri was last updated on October 11, 2013. 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.