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PONEH RAHIMI MD
NPI 1255406401
Internal Medicine - Gastroenterology in Mission Viejo, CA

Active since November 22, 2006PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
PO BOX 2636, MISSION VIEJO, CA 92690(949) 364-2536(949) 388-8013 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2024, Oct 17, 2023 (2 updates tracked since 2023).

About Poneh Rahimi Md NPPES

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

PONEH RAHIMI MD (NPI 1255406401) is an individual gastroenterology provider in Mission Viejo, California, licensed in California (A76910) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Logan Regional Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1255406401
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NamePONEH RAHIMICredential: MD
Location AddressPO BOX 2636Mission Viejo, CA 92690-0636
Mailing AddressPo Box 2636Mission Viejo, CA 92690-0636 · (949) 364-2536 · Fax (949) 388-8013
Phone(949) 364-2536
Fax(949) 388-8013
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 22, 2006
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1255406401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A76910
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

PO BOX 2636, Mission Viejo, CA 92690
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

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

Poneh Rahimi Md 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 ID1850496217
PECOS Enrollment IDI20070413000534, I20190612001844
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 5

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
67 services66 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
66 services65 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
64 services60 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
19 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92690 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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

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 Poneh Rahimi's NPI number?

The NPI number for Poneh Rahimi is 1255406401. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Poneh Rahimi located?

Poneh Rahimi practices at PO Box 2636, Mission Viejo, CA 92690. The listed phone number is (949) 364-2536.

What is Poneh Rahimi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Poneh Rahimi enrolled in Medicare?

Yes. Poneh Rahimi 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.

What insurance does Poneh Rahimi accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Poneh Rahimi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Poneh Rahimi affiliated with any hospitals?

According to CMS data, Poneh Rahimi is affiliated with Logan Regional Hospital and St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for Poneh Rahimi was last updated on June 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.