DR. OMEAD MIRGOLI MD
NPI 1821625609
Family Medicine in North Bergen, NJ
About Dr. Omead Mirgoli Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OMEAD MIRGOLI MD (NPI 1821625609) is an individual family medicine provider in North Bergen, New Jersey, licensed in California (A195169) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Omead Mirgoli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Omead Mirgoli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90022
- Reassigned Medicare billing, California enrollment
- 45 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NORTH BERGEN, NJ 07047
NORTH BERGEN, NJ 07047
NORTH BERGEN, NJ 07047
NORTH BERGEN, NJ 07047
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 Omead Mirgoli's NPI number?
The NPI number for Omead Mirgoli is 1821625609. It was assigned to this individual provider in the NPPES registry on March 24, 2020.
Where is Omead Mirgoli located?
Omead Mirgoli practices at 7600 River Rd, North Bergen, NJ 07047. The listed phone number is (201) 854-5000.
What is Omead Mirgoli's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Omead Mirgoli enrolled in Medicare?
Yes. Omead Mirgoli is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Omead Mirgoli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Omead Mirgoli reassigns Medicare benefits to Via Care Community Health Center (Los Angeles, CA). The 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 Omead Mirgoli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Omead Mirgoli was last updated on September 9, 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.
# Dr. Omead Mirgoli, MD · NPI 1821625609
Family Medicine physician in North Bergen, New Jersey. Individual provider, active in the CMS NPPES registry since March 24, 2020.
## Identity
- **NPI:** 1821625609 (Entity type: Individual)
- **Enumerated:** March 24, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A195169 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7600 RIVER RD, North Bergen, NJ 07047-6217
- **Phone:** (201) 854-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Via Care Community Health Center (NPI 1730630997, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1821625609) · Data from the CMS NPPES public registry.