Individual provider Active NPI

Keren Fogelfeld, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Encino, CA
National Provider Identifier
1215185038
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
A108862 Issued in CA
Practice address
16260 Ventura Blvd Ste 600
Encino, CA 91436-4604
Phone
(818) 366-2977
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A108862 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A108862 CA
Sleep Medicine (Internal Medicine) Physician 207RS0012X A108862 CA Primary

Addresses

Primary practice location

16260 Ventura Blvd Ste 600
Encino, CA 91436-4604

Mailing address

3635 Terrace View Dr
Encino, CA 91436-4019
Phone (336) 655-0486

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120612000140 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 5698939296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease, Sleep Medicine
Education
Wake Forest University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sani and Eshaghian MD IncGroup PAC ID 6002196508, 4 clinicians

Practice addresses (Care Compare)

16260 Ventura Blvd
Suite 600
Encino, CA 91436-4604
Phone (844) 428-5864

Hospital & facility affiliations

  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • Lac/Olive View-UCLA Medical Center Hospital, Sylmar, CA, CCN 050040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108862CAMDPediatric Dentist
A108862CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Auditor Controller CurrentSince Jun 1, 2012 Accepting new patients
Sani and Eshaghian M.D., Inc. Pulmonary Disease CurrentSince Jan 1, 2025 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles CurrentSince Jun 1, 2012 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

16260 Ventura Blvd
Ste 600
Encino, CA 91436
Phone (818) 986-1977

17075 Devonshire St
Ste 205
Northridge, CA 91325
Phone (818) 366-2977

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJEBDD/Endpoint/GJEBDD

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1215185038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 TERRACE VIEW DR",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364019",
            "telephone_number": "336-655-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE 600",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364604",
            "telephone_number": "818-366-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGELFELD",
        "first_name": "KEREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A108862",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A108862",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A108862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.