Paul N Mogannam (NPI# 1790902328, PAC ID# 8729140652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1790902328 |
| PAC ID by PECOS | 8729140652 |
| Professional Enrollment ID | I20081230000531 |
| Full Name | Paul N Mogannam |
| Organization Legal Name | RENAISSANCE IMAGING MEDICAL ASSOCIATES INC |
| Address |
1000 S Westgate Ave Apt 201 Los Angeles CA 90049-5954 |
| Phone Number | 8555044544 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 7315841756 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360079 | KETTERING MEDICAL CENTER |
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360360 | SOIN MEDICAL CENTER |
| 360239 | KETTERING MEDICAL CENTER - SYCAMORE |
| 360026 | GREENE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 44105 15th W St, Suite 100, Lancaster, CA 93534-4088 | 6617266226 | RENAISSANCE IMAGING MEDICAL ASSOCIATES INC |
| 1000 S Westgate Ave, Apt 201, Los Angeles, CA 90049-5954 | 8555044544 | RENAISSANCE IMAGING MEDICAL ASSOCIATES INC |
| 1111 S Grand Ave, Apt 611, Los Angeles, CA 90015-2763 | 3109621386 | KETTERING NETWORK RADIOLOGISTS INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_109_overall | Osteoarthritis (OA): Function and Pain Assessment | 85% | |
| MIPS_EC_109_overall | Osteoarthritis (OA): Function and Pain Assessment | 85% | |
| MIPS_EC_109_overall | Osteoarthritis (OA): Function and Pain Assessment | 85% | |
| MIPS_EC_109_overall | Osteoarthritis (OA): Function and Pain Assessment | 85% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 10% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 10% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 10% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 10% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 57% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 57% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 57% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 57% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 55% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 55% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 55% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 55% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 6% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 6% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 6% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 6% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 93% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 93% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 93% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 93% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | RENAISSANCE IMAGING MEDICAL ASSOCIATES INC |
| Physicians | 108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaryd Yee | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 192 W Lanai St, Kahului, HI 96732-2817 |
| Larry R Sadler | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 136 Kai La Pl, Kihei, HI 96753-6508 |
| Alan A Alexander | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 578 Washington Blvd, Suite 948, Marina Del Rey, CA 90292-5442 |
| Robert Palmer Stecher | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 130 Sepulveda Blvd Unit, Suite 306, Los Angeles, CA 90049-3153 |
| John Swift | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 10750 Wilshire Blvd, Apt 702, Los Angeles, CA 90024-4470 |
| Harun Ozer | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 2788 Paloma St, Pasadena, CA 91107-2741 |
| Steven A Newman | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 149 Kawika Pl, Honolulu, HI 96822-5006 |
| Turgut Berkmen | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 100 Keokea Pl, Kula, HI 96790-7450 |
| Gary L Wade | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 484 Snider Dr, Walla Walla, WA 99362-8075 |
| Chao-hsu J Liu | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 6506 Sunnyland Ln, Dallas, TX 75214-3123 |
| Street Address |
1000 S WESTGATE AVE APT 201 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90049-5954 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Armin Richard Baier Jr. | Clinical Social Worker | 1041 N Bundy Dr, Los Angeles, CA 90049-1510 | |
| Abolghasem M Tehrani | Psychiatry | 11260 Chalon Rd, Los Angeles, CA 90049-1719 | |
| Rosalyn Benitez-bloch | Clinical Social Worker | 737 Halliday Ave, Los Angeles, CA 90049-2041 | |
| David C Thornton | Nurse Practitioner | Ehab Yacoub Md Inc. | 651 N Sepulveda Blvd, Suite 2b, Los Angeles, CA 90049-2186 |
| Ehab Yacoub | Psychiatry | Ehab Yacoub Md Inc. | 651 N Sepulveda Blvd, Suite 2b, Los Angeles, CA 90049-2186 |
| Pedro E Morante | Nurse Practitioner | Ehab Yacoub Md Inc. | 651 N Sepulveda Blvd, Suite 2b, Los Angeles, CA 90049-2186 |
| Andrea Lynn Sczesny | Nurse Practitioner | Ehab Yacoub Md Inc. | 651 N Sepulveda Blvd, Suite 2b, Los Angeles, CA 90049-2186 |
| Shahrooz Eshaghian | Hematology/oncology | 470 N Robinwood Dr, Los Angeles, CA 90049-2328 | |
| Farah Gozini | Optometry | 11718 Barrington Ct, Los Angeles, CA 90049-2930 | |
| Maral Touna Arpi H Donabedian | Internal Medicine | 130 S Sepulveda Blvd, Unit 105, Los Angeles, CA 90049-3150 | |
| Find all physicians in zip 90049 | |||
| City | LOS ANGELES |
| Zip Code | 90049 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | LOS ANGELES + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Paul N Mogannam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.