Hossein Babaali, M.D.

Pulmonary Disease Internal Medicine

Internal Medicine

Hossein Babaali is a Pulmonary Disease Internal Medicine specialist based in Santa Monica, CA with over 35 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.

Also practices: CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE

(310) 449-4595Santa Monica, CA
Telehealth Available
NPI Active per CMS — Q2 2026|Medicare Enrolled|Order & Refer

Hossein Babaali, M.D. has been part of the Santa Monica medical community since 2006 in group practice. A University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) graduate since 1991, he brings 35+ years of experience. CMS Medicare data shows his patients commonly have hypertension, diabetes, and mood disorders. CMS MIPS quality score: 100/100 (2023).

At a glance

  • Prescribes opioids less than 35% of reporting doctors in California
  • Uses generic medications more than 46% of reporting doctors in California
  • Federal MIPS score higher than 93% of MIPS-scored doctors in California
  • Virtual visits available — no app or travel required
1 of 493 Internal Medicine providers in CASee all Internal Medicine in Santa Monica35+ years experienceNPI since 2006

Older · 6632dNPPES updated 2008-03-27 · verify NPI on CMS · Verify license at Medical Board of California

Contact & Location

Practice Location

2428 Santa Monica Blvd Ste 402, Santa Monica, CA 90404-2047

Fax: (310) 828-6635
CMS Clinical Data

How Does This Doctor Compare?

Based on Medicare data, this doctor scores better than 93% of doctors in California on federal quality measures, prescribes opioid pain medications conservatively, favors affordable generic drugs over brand-name ones.

MIPS Score

2023

100/100

California avg: 78.6 · US avg: 83.6

Higher than most doctors nationally(+16.4 pts)

Top 7% of MIPS-scored doctors in California

How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.

Opioid Rx

↓ Lower = better

2.44%

California avg: 5.2 · US avg: 5.1

Higher than most doctors nationally(-2.7 pts)

2.44% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.

Generic Rx

↑ Higher = better

87%

California avg: 83.3 · US avg: 82.8

Higher than most doctors nationally(+4.2 pts)

Typical range among reporting doctors in California

How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.

Medicare Patients

117

Unique beneficiaries

Standard volume

Prescription Recipients

358

Patients prescribed

Prescriptions Written

10,732

Total claims

Total Medicare drug cost: $917k

Percentile rankings compared against 9,360 reporting peers in California.

Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.

Patient Condition Panel

What This Doctor Treats Most

Based on Medicare claims data — here's what patients commonly see this doctor for

Based on Medicare data, this doctor primarily manages Hypertension, Diabetes, and Mood Disorders.

Hypertension
Higher than avg (+5%)75%

High blood pressure — a leading risk factor for heart disease and stroke

US avg: 70.2%

↑ More patients than average (+5%) — a focus area for this doctor

Diabetes
Higher than avg (+32%)66%

A condition where the body cannot properly regulate blood sugar levels

US avg: 34.5%

↑ More patients than average (+32%) — a focus area for this doctor

Mood Disorders
66%

Conditions affecting emotional state, including depression and bipolar disorder

High Cholesterol
Lower than avg (-6%)64%

Elevated cholesterol or triglycerides that increase heart disease risk

US avg: 70.4%

↓ Fewer patients than average (-6%) — less common here

Arthritis
Higher than avg (+14%)63%

Joint inflammation causing pain, swelling, and stiffness

US avg: 49.3%

↑ More patients than average (+14%) — a focus area for this doctor

Chronic Kidney Disease
Higher than avg (+26%)56%

Gradual loss of kidney function over time, often linked to diabetes or hypertension

US avg: 29.6%

↑ More patients than average (+26%) — a focus area for this doctor

Depression
Higher than avg (+24%)56%

A mood disorder causing persistent sadness and loss of interest in activities

US avg: 31.8%

↑ More patients than average (+24%) — a focus area for this doctor

COPD
Higher than avg (+35%)55%

Chronic Obstructive Pulmonary Disease — a group of lung diseases that block airflow

US avg: 20.4%

↑ More patients than average (+35%) — a focus area for this doctor

GeneralBehavioralNational avg

Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.

Industry Payment Transparency

$22 received from industry

1 transaction reported in 2024 ·Low tier

View on CMS Open Payments →

Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.

Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Hossein Babaali's NPI.

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Background & Specialty

Education, training, and specialty classification from CMS NPPES and Medicare records.

Career Journey
  1. Graduated medical school · 1991

    University of Illinois College of Medicine

  2. 35 years in practice

    Senior practitioner

Internal MedicinePulmonary Disease in Santa MonicaAllopathic & Osteopathic Physicians

Pulmonologists specialize in respiratory conditions including asthma, COPD, pneumonia, pulmonary fibrosis, sleep apnea, and lung cancer screening. They manage patients on ventilators and perform bronchoscopies.

Taxonomy: 207RP1001X

Education & Training

University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) (Class of 1991)

Practice Footprint

Primary hospital affiliation: Acute Care Hospitals

CMS Certification Number: 190259

View hospital on Medicare Care Compare

Virtual Pulmonary Disease Care With Hossein Babaali

NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.

Schedule a virtual visit with Hossein Babaali for blood pressure monitoring, diabetes check-ins, mood disorder follow-ups — no travel to Santa Monica required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.

Frequently Asked Questions

Common questions about Hossein Babaali

NPI records show Dr. Babaali as active with telehealth listed in Santa Monica, CA. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (310) 449-4595.

Verified across 6 federal data sources

Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.

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Medical Disclaimer: NPI Telehealth is a provider directory for informational purposes only. This page does not constitute medical advice, diagnosis, or treatment recommendations. Provider data is sourced from the CMS NPPES federal registry and public Medicare datasets. NPI Telehealth does not verify clinical qualifications beyond federal records. Data may not reflect real-time availability — always contact the provider's office directly to confirm details before seeking care.

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