GHOLAMHOSSAIN HAYAT M.D.
NPI 1811927429
Internal Medicine - Pulmonary Disease in Sacramento, CA

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
99.97/100
CMS Quality Rating
1508 ALHAMBRA BLVD STE 200, SACRAMENTO, CA 95816(916) 325-1040(916) 669-4100 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gholamhossain Hayat M.d. NPPES

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

GHOLAMHOSSAIN HAYAT M.D. (NPI 1811927429) is an individual pulmonary disease provider in Sacramento, California, licensed in California (A36736) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1811927429
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameGHOLAMHOSSAIN HAYATCredential: M.D.
Location Address1508 ALHAMBRA BLVD STE 200Sacramento, CA 95816-6510
Mailing Address1300 Ethan Way Ste 600Sacramento, CA 95825-2296 · (916) 679-3590 · Fax (916) 482-3647
Fax(916) 669-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 1971
Enumeration DateJuly 3, 2006
Last NPPES UpdateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
NPI 1811927429 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 · A36736
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 A36736 (CA)
1508 ALHAMBRA BLVD STE 200, Sacramento, CA 95816

Other Names 1

Former Name (1)Gholamhossain Hayatdavoudi M.d.

Other Identifiers 1

Medicaid00A367360CA

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

Gholamhossain Hayat M.d. 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 ID9830278605
PECOS Enrollment IDI20080505000642
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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
534 services85 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.
467 services60 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
285 services88 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.
258 services202 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
73 services73 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

99.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.5
Promoting Interoperability100
Improvement Activities40
Cost75.07

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
53%60 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
58%319 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%47 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%863 patients4/55-star benchmark: 100%
e-Prescribing
96%211 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
92%620 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%386 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 388 patients
Patients screened: 98% · 388 patients
86%35 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%193 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%90 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 468 patients
Patients totalRate: 1% · 468 patients
0%468 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 19

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
8 suppliers52 claims52 services$33.48 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers35 claims35 services$66.02 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers36 claims93 services$26.12 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers34 claims193 services$15.40 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers39 claims39 services$41.84 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
10 suppliers44 claims44 services$14.74 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 20

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

Internal Medicine (Infectious Disease)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
Internal Medicine (Critical Care Medicine)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
Internal Medicine (Critical Care Medicine)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
Nurse Practitioner (Family)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
Internal Medicine (Critical Care Medicine)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
Clinic/Center (Sleep Disorder Diagnostic)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
Internal Medicine (Critical Care Medicine)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
Internal Medicine (Infectious Disease)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816

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 Gholamhossain Hayat's NPI number?

The NPI number for Gholamhossain Hayat is 1811927429. It was assigned to this individual provider in the NPPES registry on July 3, 2006. The provider is also known as Gholamhossain Hayatdavoudi M.D..

Where is Gholamhossain Hayat located?

Gholamhossain Hayat practices at 1508 Alhambra Blvd Ste 200, Sacramento, CA 95816. The listed phone number is (916) 325-1040.

What is Gholamhossain Hayat's specialty?

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

Is Gholamhossain Hayat enrolled in Medicare?

Yes. Gholamhossain Hayat 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.

When was this NPI record last updated?

The NPPES record for Gholamhossain Hayat was last updated on October 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.