Kourosh Kevin Shamlou, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G79362 Issued in CA

Practice address

11411 Brookshire Ave
Suite 200
Downey, CA 90241-5026

Phone

(562) 869-4421

Fax

(562) 869-3600

NPI assigned

Aug 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic SurgeryAlso: Physical Medicine and Rehabilitation

Education

R Franklin University of Med & Sci/Chicago Medical School, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Advanced Orthopedics and Sports Medicine IncGroup PAC ID 3072944453, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Americare Home Health, Inc Home health agency, Van Nuys, CA, CCN 059594
• Sunny Days Home Care, Inc. Home health agency, Glendale, CA, CCN 757017
• Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393
• Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Kourosh K Shamlou MD Inc

  • Specialist
  • Downey, CA
  • NPI 1164669875
  Medicare reassignment NPD Authorized official
• Center for Advanced Orthopedics and Sports Medicine Inc.

  • Specialist
  • Fountain Valley, CA
  • NPI 1710305602
  Care Compare group
• Pih Health Downey Hospital

  • General Acute Care Hospital
  • Downey, CA
  • NPI 1265433551
  NPD (past)
• Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1043215379
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Americare Home Health, Inc.

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1033460795
  Care Compare affiliation
• Pih Health Downey Hospital

  • General Acute Care Hospital
  • Downey, CA
  • NPI 1265433551
  Care Compare affiliation
• Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1043215379
  Care Compare affiliation
• Sunny Days Home Care, Inc.

  • Home Health Agency
  • Burbank, CA
  • NPI 1013522085
  Care Compare affiliation

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1073621470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 BROOKSHIRE AVE",
            "address_2": "SUITE 200",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415026",
            "telephone_number": "562-869-4421",
            "fax_number": "562-869-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 BROOKSHIRE AVE",
            "address_2": "SUITE 200",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415026",
            "telephone_number": "562-869-4421",
            "fax_number": "562-869-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMLOU",
        "first_name": "KOUROSH",
        "middle_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G79362",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G79362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niranjan J Shah, DDS
• Pranjali Shah, MS, OTR/L
• Shahryar Davari MD PC
• John K Shaib, MD
• Ferdinand Jamil Shamiyeh, M.D.
• Hazim K. Shams, M.D.
• Maryam Shams, NP
• Mandana Shamsa, MD
• Kathleen Juliet Shanfield
• Natalie Shanfield, MA, CCC-SLP

• Orthopaedic Surgery Physician in Downey, CA
• Providers in Downey, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.

Verify at the official NPI Registry.