Dr Babak Gachpaz, MD - Medicare Internal Medicine in Newport Coast, CA

Dr Babak Gachpaz, MD is a medicare enrolled "Internal Medicine" physician in Newport Coast, California. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Prohealth Partners, A Medical Group and his current practice location is 4 Pavona, Newport Coast, California. You can reach out to his office (for appointments etc.) via phone at (562) 491-9944.

Dr Babak Gachpaz is licensed to practice in California (license number A137760) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245502400.

Contact Information

Dr Babak Gachpaz, MD
4 Pavona,
Newport Coast, CA 92657-1217
(562) 491-9944
Not Available

Map and Direction




Physician's Profile

Full NameDr Babak Gachpaz
GenderMale
SpecialityInternal Medicine
Experience12 Years
Location4 Pavona, Newport Coast, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Babak Gachpaz graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1245502400
  • Provider Enumeration Date: 02/03/2012
  • Last Update Date: 08/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0547559924
  • Enrollment ID: I20190628002945

Medical Identifiers

Medical identifiers for Dr Babak Gachpaz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245502400NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 04-39038 (Kansas)Secondary
207R00000XInternal Medicine A137760 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary Medical CenterLong beach, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Partners, A Medical Group2769388412229

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Babak Gachpaz allows following entities to bill medicare on his behalf.
Entity NameProhealth Partners, A Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003949975
PECOS PAC ID: 2769388412
Enrollment ID: O20031211000927

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Babak Gachpaz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Babak Gachpaz, MD
1050 Linden Ave,
Long Beach, CA 90813-3321

Ph: (562) 491-9469
Dr Babak Gachpaz, MD
4 Pavona,
Newport Coast, CA 92657-1217

Ph: (562) 491-9944

Reviews and Comments


Internal Medicine Doctors in Newport Coast, CA

Dr. Kevin F Ogrady, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 31 Ocean Heights Dr, Newport Coast, CA 92657
Phone: 949-715-6815    Fax: 949-715-6816
Thomas Tan Tri Le, D.O.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 12 Chaminade, Newport Coast, CA 92657
Phone: 949-759-7057    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.