Individual provider Active NPI

Payman Khorrami, MD

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1275563207
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G73031 Issued in CA
Practice address
2080 Century Park East
Suite 1804
Los Angeles, CA 90067-2021
Phone
(310) 553-5588
Fax
(310) 553-5590
NPI assigned
Jul 4, 2006
Last updated
Sep 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G73031 CA Primary

Addresses

Primary practice location

2080 Century Park East
Suite 1804
Los Angeles, CA 90067-2021

Mailing address

2080 Century Park East
Suite 1804
Los Angeles, CA 90067-2021
Phone (310) 553-5588

Other identifiers 2

IdentifierTypeStateIssuer
00G730310MedicaidCA
100009555OtherCAMEDICARE RAILROAD

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
I20100914000426 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 8123027760 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of California, San Francisco School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2080 Century Park E
Suite 1108
Los Angeles, CA 90067-2014
Phone (310) 553-5588

2080 Century Park E
Suite 1804
Los Angeles, CA 90067-2021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.94 of 100Reported as group
Quality
79.88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy317
Upper gastrointestinal (GI) endoscopy for acid reflux267

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur Leslie Stein MD a Medical Corporation PastSince Dec 29, 2009 Accepting new patients
Roya Golshani MD a Professional Corporation PastSince Jun 25, 2016 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 2

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1275563207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST",
            "address_2": "SUITE 1804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672021",
            "telephone_number": "310-553-5588",
            "fax_number": "310-553-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST",
            "address_2": "SUITE 1804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672021",
            "telephone_number": "310-553-5588",
            "fax_number": "310-553-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORRAMI",
        "first_name": "PAYMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G73031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G730310",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "100009555",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.