Active NPI
Noha R Barsoum, M.D.
- Internal Medicine Physician
- North Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A64657
- Practice address
- 12660 Riverside Dr
Suite 225
North Hollywood, CA 91607-3429 - Phone
- (818) 487-0040
- Fax
- (818) 487-0050
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A64657 | CA | Primary |
| Nephrology Physician | 207RN0300X | A64657 | CA |
Addresses
Primary practice location
12660 Riverside Dr
Suite 225
North Hollywood, CA 91607-3429
Mailing address
5805 Sepulveda Blvd
Suite 610
Van Nuys, CA 91411-2546
Phone (818) 908-8048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A646570 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14812 Oxnard St
Van Nuys, CA 91411-3143
Phone (818) 781-7888
16030 Ventura Blvd
Suite 680
Encino, CA 91436-4443
Phone (818) 990-1067
18321 Clark St
Tarzana, CA 91356-3501
Phone (818) 881-0800
2031 W Alameda Ave
Suite 202
Burbank, CA 91506-2959
Phone (818) 845-3830
501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 787-2410
5525 Etiwanda Ave
Suite 320
Tarzana, CA 91356-6130
Phone (818) 774-3839
8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-1447
8723 Alden Dr
Suite 260
Los Angeles, CA 90048-1804
Phone (310) 248-8299
Hospital & facility affiliations
- Fresenius Medical Care Burbank
- Fresenius Medical Care Van Nuys
- Providence Saint Joseph Medical Ctr
- Providence Cedars Sinai Tarzana Medical Center
- Cedars-Sinai Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A64657 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Yaroslav a. Gofnung, M.D., Inc. | Past | Accepting new patients |
Locations
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
12660 Riverside Dr
Ste 225
North Hollywood, CA 91607
Phone (818) 487-0040
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
12660 Riverside Dr
Ste 215
Valley Vlg, CA 91607
Phone (818) 487-0040
15211 Vanowen St
Ste 315
Van Nuys, CA 91405
Phone (818) 787-2410
15211 Vanowen St
Ste 300
Van Nuys, CA 91405
Phone (818) 782-4104
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- nbarsoum208229@direct.cshs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Endocrinology, Diabetes & Metabolism Physician
- North Hollywood, CA
- NPI 1013024876
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care Burbank
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Burbank, CA
- NPI 1144393299
Dialysis facility
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
dba Providence Saint Joseph Medical Center
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
-
dba Providence Cedars-Sinai Tarzana Medical Center
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1053391185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 SEPULVEDA BLVD",
"address_2": "SUITE 610",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914112546",
"telephone_number": "818-908-8048",
"fax_number": "818-908-8072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12660 RIVERSIDE DR",
"address_2": "SUITE 225",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916073429",
"telephone_number": "818-487-0040",
"fax_number": "818-487-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARSOUM",
"first_name": "NOHA",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A64657",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A64657",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A646570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.