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EISENHOWER MEDICAL CENTER
NPI 1780835819
General Acute Care Hospital in Rancho Mirage, CA

Active since October 07, 2008
72780 COUNTRY CLUB DR STE 205, RANCHO MIRAGE, CA 92270(760) 834-7900(760) 834-7901 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2026, Mar 18, 2025, Nov 13, 2019 (3 updates tracked since 2019).

About Eisenhower Medical Center NPPES

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

EISENHOWER MEDICAL CENTER (NPI 1780835819), doing business as Eisenhower, is a healthcare organization registered as a general acute care hospital in Rancho Mirage, California and active in the NPI registry since October 2008. The organization maintains 2 additional practice locations and lists Martin Joseph Massiello, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1780835819
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameEISENHOWER MEDICAL CENTER
Location Address72780 COUNTRY CLUB DR STE 205Rancho Mirage, CA 92270-4150
Mailing Address39000 Bob Hope DrRancho Mirage, CA 92270-3202 · (760) 340-3911
Phone(760) 834-7900
Fax(760) 834-7901
Organization SubpartYes
Authorized OfficialMartin Joseph MassielloPresident/ceo · (760) 773-1228
Enumeration DateOctober 7, 2008
Last NPPES UpdateApril 3, 20263 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1780835819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in CA · 250000142
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
72780 COUNTRY CLUB DR STE 205, Rancho Mirage, CA 92270
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Other Names 2

Doing Business AsEisenhower
Doing Business AsEisenhower Health

Secondary Practice Locations 2

Location 172780 Country Club Dr Ste 305Rancho Mirage, CA 92270-4149 · Phone (760) 837-8748 · Fax (760) 837-8749
Location 272780 Country Club Dr Ste 203Rancho Mirage, CA 92270-4150 · Phone (760) 834-3593 · Fax (760) 674-3845

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eisenhower Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

592

Medicare enrollment records show 592 clinicians reassign Medicare billing to Eisenhower Medical Center, which bills Medicare for the services they deliver. Of these, 37 practice at this address and 463 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 47

Nurse Practitioner93
Emergency Medicine87
Internal Medicine60
Family Practice56
Anesthesiology51
Hospitalist33
Cardiovascular Disease (Cardiology)18
Obstetrics/Gynecology16
39 other specialties178

Nearest to this location (20)

See all 592
Blessing Fadaka, FNP
Nurse Practitioner
NPI 1508391624
72780 COUNTRY CLUB DR STE 205
Rancho Mirage, CA 92270
(760) 834-7905
✔ PECOS✔ Accepts MedicareSame address
Maureen Gottfried, DO
Neurology
NPI 1972652832
72780 COUNTRY CLUB DR STE 205
Rancho Mirage, CA 92270
(760) 834-3540
✔ PECOS✔ Accepts MedicareSame address
Benjamin Hegenbarth, D.O.
Family Practice
NPI 1235516675
72780 COUNTRY CLUB DR STE 203
Rancho Mirage, CA 92270
(760) 834-3593
✔ PECOS✔ Accepts MedicareSame address
Amit Ladani, M.D.
Rheumatology
NPI 1891008942
72780 COUNTRY CLUB DR STE 205
Rancho Mirage, CA 92270
(760) 834-7959
✔ PECOS✔ Accepts MedicareSame address
Joby Marie Marfori, DO
Family Practice
NPI 1770162919
72780 COUNTRY CLUB DR STE 203
Rancho Mirage, CA 92270
(760) 834-3593
✔ PECOSSame address
Cyrus Mohrdar-Ghaemmaghami
Family Practice
NPI 1972182178
72780 COUNTRY CLUB DR STE 203
Rancho Mirage, CA 92270
(760) 834-3593
✔ PECOS✔ Accepts MedicareSame address
Jenan Shukry, MD
Vascular Surgery
NPI 1962963447
72780 COUNTRY CLUB DR STE 205
Rancho Mirage, CA 92270
(760) 834-3540
✔ PECOS✔ Accepts MedicareSame address
Krista Burris, MD
Internal Medicine
NPI 1992836290
72780 COUNTRY CLUB DR SUITE 203
Rancho Mirage, CA 92270
(760) 674-3847
✔ PECOSSame address
Russell Grant, M.D.
Internal Medicine
NPI 1922026533
72780 COUNTRY CLUB DR SUITE B 203
Rancho Mirage, CA 92270
(760) 674-3847
✔ PECOS✔ Accepts MedicareSame address
Josefina Guerrero, MD
Pediatric Medicine
NPI 1487666996
72780 COUNTRY CLUB DR BLDG B203
Rancho Mirage, CA 92270
(760) 674-3847
✔ PECOS✔ Accepts MedicareSame address
Mei Lai, MD
Internal Medicine
NPI 1356364020
72780 COUNTRY CLUB DR BLDG B 205B
Rancho Mirage, CA 92270
(760) 834-7900
✔ PECOS✔ Accepts MedicareSame address
Donna Smith, R.N., F.N.P.
Nurse Practitioner
NPI 1770651176
72780 COUNTRY CLUB DR BLDG B 203B
Rancho Mirage, CA 92270
(760) 674-3847
✔ PECOS✔ Accepts MedicareSame address
Kathleen Wheeler, FNP
Nurse Practitioner
NPI 1740466887
72780 COUNTRY CLUB DR SUITE B3
Rancho Mirage, CA 92270
(760) 674-3847
✔ PECOS✔ Accepts MedicareSame address
Francis Domzalski, MD
Emergency Medicine
NPI 1225059223
72780 COUNTRY CLUB DR STE 203
Rancho Mirage, CA 92270
(760) 834-3593
✔ PECOS✔ Accepts MedicareSame address
William Crecelius, MD
Emergency Medicine
NPI 1003828633
72780 COUNTRY CLUB DR STE 203
Rancho Mirage, CA 92270
(760) 834-3593
✔ PECOS✔ Accepts MedicareSame address
John Herling, MD
Emergency Medicine
NPI 1316961386
72780 COUNTRY CLUB DR BLDG. B 203
Rancho Mirage, CA 92270
(760) 674-3847
✔ PECOSSame address
Farhad Limonadi, MD
Neurosurgery
NPI 1154386399
72780 COUNTRY CLUB DR STE A104
Rancho Mirage, CA 92270
(760) 895-0639
✔ PECOS✔ Accepts MedicareSame address
Samir Macwan, M.D.
Neurology
NPI 1265558753
72780 COUNTRY CLUB DR STE 205
Rancho Mirage, CA 92270
(760) 834-3540
✔ PECOSSame address
John Robinson, M.D.
Neurology
NPI 1952833097
72780 COUNTRY CLUB DR STE 205
Rancho Mirage, CA 92270
(760) 834-3540
✔ PECOS✔ Accepts MedicareSame address
Alfred Shen, M.D.
Neurosurgery
NPI 1598879595
72780 COUNTRY CLUB DR STE A104
Rancho Mirage, CA 92270
(760) 895-0639
✔ PECOS✔ Accepts MedicareSame address
See all 592 clinicians

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 Eisenhower Medical Center's NPI number?

The NPI number for Eisenhower Medical Center is 1780835819. It was assigned to this organization in the NPPES registry on October 7, 2008. The provider is doing business as Eisenhower and Eisenhower Health.

Where is Eisenhower Medical Center located?

Eisenhower Medical Center is located at 72780 Country Club Dr Ste 205, Rancho Mirage, CA 92270. The listed phone number is (760) 834-7900.

What is Eisenhower Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Eisenhower Medical Center enrolled in Medicare?

Yes. Eisenhower Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eisenhower Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 592 clinicians in 47 Medicare specialties reassign their Medicare billing to Eisenhower Medical Center. 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. The largest specialties are Nurse Practitioner (93), Emergency Medicine (87) and Internal Medicine (60). Of these, 37 practice at this address and 463 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eisenhower Medical Center was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.