DR. ROD MORTAZAVI M.D.
NPI 1891094678
Emergency Medicine in Orange, CA
About Dr. Rod Mortazavi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROD MORTAZAVI M.D. (NPI 1891094678) is an individual emergency medicine provider in Orange, California, licensed in California (A123909) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Berkeley.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Rod Mortazavi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Rod Mortazavi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 219 clinicians in this Medicare group
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Newport Beach, CA 92663
- Reassigned Medicare billing, California enrollment
- 59 clinicians in this Medicare group
Mission Viejo, CA 92691
- Reassigned Medicare billing, California enrollment
- 86 clinicians in this Medicare group
Laguna Beach, CA 92651
- Reassigned Medicare billing, California enrollment
- 110 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
ORANGE, CA 92868
ORANGE, CA 92868
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 Rod Mortazavi's NPI number?
The NPI number for Rod Mortazavi is 1891094678. It was assigned to this individual provider in the NPPES registry on March 20, 2011.
Where is Rod Mortazavi located?
Rod Mortazavi practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 456-8888.
What is Rod Mortazavi's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Rod Mortazavi enrolled in Medicare?
Yes. Rod Mortazavi is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Rod Mortazavi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rod Mortazavi reassigns Medicare benefits to 5 organizations: Regents Of The University Of (Orange, CA), Southern California Permanente Medical Group (Anaheim, CA), Newport Emergency Medical Group Inc (Newport Beach, CA), Mission Viejo Emergency Medical Associates (Mission Viejo, CA) and Mission Viejo Emergency Medical Associates, Inc. (Laguna Beach, CA). Each 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 Rod Mortazavi'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 Rod Mortazavi was last updated on May 7, 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. Rod Mortazavi, M.D. · NPI 1891094678
Emergency Medicine physician in Orange, California. Individual provider, active in the CMS NPPES registry since March 20, 2011.
## Identity
- **NPI:** 1891094678 (Entity type: Individual)
- **Enumerated:** March 20, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A123909 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 THE CITY DR S, Orange, CA 92868-3201
- **Phone:** (714) 456-8888
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of (NPI 1154379394, Orange, CA); Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA); Newport Emergency Medical Group Inc (NPI 1922061779, Newport Beach, CA); Mission Viejo Emergency Medical Associates (NPI 1073542916, Mission Viejo, CA); Mission Viejo Emergency Medical Associates, Inc. (NPI 1134355597, Laguna Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1891094678) · Data from the CMS NPPES public registry.