MIRAGE MEDICAL GROUP
NPI 1265298756
Obstetrics & Gynecology in Palm Desert, CA
About Mirage Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRAGE MEDICAL GROUP (NPI 1265298756) is a healthcare organization registered as an obstetrics & gynecology in Palm Desert, California and active in the NPI registry since February 2024. The organization lists Zoran Rubakovich, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Mirage 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 Mirage 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 Mirage Medical Group's NPI number?
The NPI number for Mirage Medical Group is 1265298756. It was assigned to this organization in the NPPES registry on February 22, 2024.
Where is Mirage Medical Group located?
Mirage Medical Group is located at 44650 Village Ct Ste 100, Palm Desert, CA 92260. The listed phone number is (760) 346-4003.
What is Mirage Medical Group's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Mirage Medical Group enrolled in Medicare?
Yes. Mirage Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mirage Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Mirage 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 Mirage Medical Group was last updated on February 22, 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.
# Mirage Medical Group · NPI 1265298756
Obstetrics & Gynecology organization in Palm Desert, California. Organization record, active in the CMS NPPES registry since February 22, 2024.
## Identity
- **NPI:** 1265298756 (Entity type: Organization)
- **Enumerated:** February 22, 2024
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Zoran Rubakovich, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 44650 VILLAGE CT STE 100, Palm Desert, CA 92260-3812
- **Phone:** (760) 346-4003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265298756) · Data from the CMS NPPES public registry.