DR. GHOLAM REZA MOHAMMADZADEH MD
NPI 1699743625
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Thousand Oaks, CA

Q: What is Gholam Mohammadzadeh's NPI number?

The NPI number for Gholam Mohammadzadeh is 1699743625. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Q: What is Gholam Mohammadzadeh's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment

77 ROLLING OAKS DR STE 202, THOUSAND OAKS, CA 91361(805) 379-6717(805) 379-6719 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Jun 21, 2024, Dec 26, 2019 (3 updates tracked since 2019).

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About Dr. Gholam Reza Mohammadzadeh Md NPPES

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

DR. GHOLAM REZA MOHAMMADZADEH MD (NPI 1699743625) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Thousand Oaks, California, licensed in California (G74293) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of Rush Medical College Of Rush University (1980).

NPPES Registry Identity

NPI1699743625

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. GHOLAM REZA MOHAMMADZADEHCredential: MD

Location Address77 ROLLING OAKS DR STE 202Thousand Oaks, CA 91361-1018

Mailing Address77 Rolling Oaks Dr Ste 202Thousand Oaks, CA 91361-1018 · (805) 379-6717 · Fax (805) 379-6719

Phone(805) 379-6717

Fax(805) 379-6719

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 1980

Enumeration DateMarch 8, 2006

Last NPPES UpdateJune 25, 20243 updates tracked since enumeration

NPPES CertifiedJune 25, 2024

✔ NPI 1699743625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in CA · G74293

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

77 ROLLING OAKS DR STE 202, Thousand Oaks, CA 91361

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Other Identifiers 1

Medicaid00G742930CA

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. Gholam Reza Mohammadzadeh 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 ID2466414537

PECOS Enrollment IDI20080110000297, I20250930003230

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 14

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

138 services110 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

86 services35 patients

Chemical destruction of first incompetent vein of arm or leg using imaging guidance 36482

This procedure involves using a chemical to close off a malfunctioning vein in your arm or leg. Imaging guidance is used to accurately locate the vein. This helps improve blood flow by rerouting it through healthier veins.

54 services24 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

53 services52 patients

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.

50 services41 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

47 services47 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.

45 services24 patients

Interpretation and report of ultrasound of heart 93314

This procedure involves using ultrasound technology to create images of your heart. These images help identify heart conditions by showing the size, structure, and motion of your heart. A report is then prepared detailing the findings.

33 services33 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.

30 services30 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.

30 services30 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

23 services23 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.

18 services18 patients

Coronary artery bypass using vein or artery graft, 2 grafts 33518

A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.

16 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140275

Location801 Illini DrSilvis, IL 61282 · Rock Island County

Emergency services Birthing friendly

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160033

Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County

Emergency services Birthing friendly

Genesis Medical Center-Dewitt

Critical Access Hospitals · Dewitt, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161313

Location1118 11th StreetDewitt, IA 52742 · Clinton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91361 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

$185.36 typical visit price

range $62.32 – $185.36

Typical copayment $46.34 (range $15.58 – $46.34)

Most-billed visit code 99205

Established Patient

$77.11 typical visit price

range $20.68 – $151.85

Typical copayment $19.27 (range $5.17 – $37.96)

Most-billed visit code 99213

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.

Reported Quality Measures

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

27%558 patients2/55-star benchmark: 99%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

64%558 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

0%558 patients1/55-star benchmark: 59%

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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$3.30 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

SUE ANN FERRARO NP

Nurse Practitioner

77 ROLLING OAKS DR STE 202
THOUSAND OAKS, CA 91361

Los Angeles County (805) 387-6687

RENAISSANCE ASTHETIC LASER AND VEIN INSTITUTE, A MEDICAL CORPORATION

Surgery (Vascular Surgery)

77 ROLLING OAKS DR STE 202
THOUSAND OAKS, CA 91361

Los Angeles County (805) 379-6717

GHOLAM R MOHAMMADZADEH MD INC A MEDICAL CORPORATION

Thoracic Surgery (Cardiothoracic Vascular Surgery)

77 ROLLING OAKS DR STE 202
THOUSAND OAKS, CA 91361

Los Angeles County (805) 379-6717

JUST BEAUTIFUL AESTHETICS

Nurse Practitioner

77 ROLLING OAKS DR STE 202
THOUSAND OAKS, CA 91361

Los Angeles County (805) 387-6687

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 Gholam Mohammadzadeh's NPI number?

The NPI number for Gholam Mohammadzadeh is 1699743625. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Gholam Mohammadzadeh located?

Gholam Mohammadzadeh practices at 77 Rolling Oaks Dr Ste 202, Thousand Oaks, CA 91361. The listed phone number is (805) 379-6717.

What is Gholam Mohammadzadeh's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Gholam Mohammadzadeh enrolled in Medicare?

Yes. Gholam Mohammadzadeh 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.

Is Gholam Mohammadzadeh affiliated with any hospitals?

According to CMS data, Gholam Mohammadzadeh is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini, Genesis Medical Center-Davenport and Genesis Medical Center-Dewitt.

When was this NPI record last updated?

The NPPES record for Gholam Mohammadzadeh was last updated on June 25, 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.