Mahtab Moshtagh Sisan, MD in Porter Ranch, CA

Mahtab Moshtagh Sisan, MD is a medicare enrolled "Internal Medicine - Sleep Medicine" physician in Porter Ranch, California. Her current practice location is 19950 Rinaldi St Ste 300, Porter Ranch, California. You can reach out to her office (for appointments etc.) via phone at (818) 271-2400.

Mahtab Moshtagh Sisan is licensed to practice in California (license number A173400) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982197901.

Contact Information

	Mahtab Moshtagh Sisan, MD
	19950 Rinaldi St Ste 300, Porter Ranch, CA 91326-4141
	(818) 271-2400
	(818) 271-2401

Map and Direction

Physician's Profile

Full Name	Mahtab Moshtagh Sisan
Gender	Female
Speciality	Internal Medicine - Sleep Medicine
Location	19950 Rinaldi St Ste 300, Porter Ranch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982197901
Provider Enumeration Date: 06/13/2018
Last Update Date: 12/01/2022

Medicare PECOS Information:

PECOS PAC ID: 7810378734
Enrollment ID: I20220722001311

Medical Identifiers

Medical identifiers for Mahtab Moshtagh Sisan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982197901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A173400 (California)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	A173400 (California)	Primary

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. Mahtab Moshtagh Sisan allows following entities to bill medicare on her behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

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. Mahtab Moshtagh Sisan 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 Address	Practice Location Address
Mahtab Moshtagh Sisan, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707	Mahtab Moshtagh Sisan, MD 19950 Rinaldi St Ste 300, Porter Ranch, CA 91326-4141 Ph: (818) 271-2400

Reviews and Comments

Internal Medicine Doctors in Porter Ranch, CA

Renata Selak Stankovic, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St Ste 300, Porter Ranch, CA 91326 Phone: 818-271-2400 Fax: 818-271-2401
Sue Yeon Chung, MD. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St, Porter Ranch, CA 91326 Phone: 818-403-2420
Dr. Ira Jeffry Strumpf, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19801 Falcon Crest Way, Porter Ranch, CA 91326 Phone: 818-366-2030 Fax: 818-366-8504
Jelena Maletkovic, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St Ste 300, Porter Ranch, CA 91326 Phone: 818-271-2400
Alaleh Sareh, MD. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St, Porter Ranch, CA 91326 Phone: 818-403-2420 Fax: 818-360-6036
Dr. Salima Thobani, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 11362 Santini Ln, Porter Ranch, CA 91326 Phone: 310-570-8337
Vindeep Bhandari, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St Ste 300, Porter Ranch, CA 91326 Phone: 818-271-2400 Fax: 818-271-2401

Mahtab Moshtagh Sisan, MD - Medicare Internal Medicine in Porter Ranch, CA