MAKAM MEDICAL CORPORATION
NPI 1821132655
Internal Medicine - Cardiovascular Disease in Anaheim, CA

Active since February 16, 2007
1120 W LA PALMA AVE, 14, ANAHEIM, CA 92801(714) 774-9747(714) 774-0921 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Makam Medical Corporation NPPES

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

MAKAM MEDICAL CORPORATION (NPI 1821132655), doing business as Anaheim Nuclear Ct/ Pet Imaging Center, is a healthcare organization registered as a cardiovascular disease in Anaheim, California and active in the NPI registry since February 2007. The organization lists Ravi P Makam, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1821132655
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameMAKAM MEDICAL CORPORATION
Location Address1120 W LA PALMA AVE, 14Anaheim, CA 92801
Mailing Address1120 W La Palma Ave, 14Anaheim, CA 92801 · (714) 774-9747 · Fax (714) 774-0921
Fax(714) 774-0921
Organization SubpartNo
Authorized OfficialRavi P MakamMedical Doctor · (714) 774-9747
Enumeration DateFebruary 16, 2007
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1821132655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · A40900
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1120 W LA PALMA AVE, Anaheim, CA 92801

Other Names 1

Doing Business AsAnaheim Nuclear Ct/ Pet Imaging Center

Other Identifiers 1

Medicaid00A409000CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120419000424Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Makam Medical Corporation, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1669732749
1120 W LA PALMA AVE STE 14
Anaheim, CA 92801
(714) 774-9747
✔ PECOS✔ Accepts Medicare1.5 mi
Internal Medicine
NPI 1720070527
1120 W LA PALMA AVE
Anaheim, CA 92801
(714) 774-9747
✔ PECOS✔ Accepts Medicare1.5 mi

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 Makam Medical Corporation's NPI number?

The NPI number for Makam Medical Corporation is 1821132655. It was assigned to this organization in the NPPES registry on February 16, 2007. The provider is doing business as Anaheim Nuclear CT/ PET Imaging Center.

Where is Makam Medical Corporation located?

Makam Medical Corporation is located at 1120 W La Palma Ave 14, Anaheim, CA 92801. The listed phone number is (714) 774-9747.

What is Makam Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Makam Medical Corporation enrolled in Medicare?

Yes. Makam Medical Corporation is registered in the Medicare PECOS enrollment system.

When is Makam Medical Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Makam Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Makam Medical Corporation. 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. Of these, 2 practice 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 Makam Medical Corporation was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.