Individual provider Active NPI

Reut Ron Pagi, M.D.

  • Pediatrics Physician
  • Beverly Hills, CA
National Provider Identifier
1043638166
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A145862 Issued in CA
Practice address
8500 Wilshire Blvd Ste 917
Beverly Hills, CA 90211-3107
Phone
(310) 789-2058
NPI assigned
Apr 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X A145862 CA
Pediatrics Physician 208000000X A145862 CA Primary

Addresses

Primary practice location

8500 Wilshire Blvd Ste 917
Beverly Hills, CA 90211-3107

Mailing address

8500 Wilshire Blvd Ste 917
Beverly Hills, CA 90211-3107
Phone (310) 789-2058

Other practice location 1

3950 Beaubien St
Detroit, MI 48201-2120
Phone (313) 832-8279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A145862CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reut Ron Pagi MD Inc Pediatrics CurrentSince Apr 25, 2021 Accepting new patients
Cedars-Sinai Medical Center PastSince Apr 25, 2021 Accepting new patients

Locations

8500 Wilshire Blvd
Ste 917
Beverly Hills, CA 90211
Phone (310) 789-2058

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rpagi@mfc.pcc-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1043638166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 917",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113107",
            "telephone_number": "310-789-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 917",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113107",
            "telephone_number": "310-789-2058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 Beaubien St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012120",
            "country_code": "US",
            "telephone_number": "313-832-8279",
            "fax_number": "313-993-0081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGI",
        "first_name": "REUT",
        "middle_name": "RON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-05",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "CA",
            "license": "A145862",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A145862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.