Individual provider Active NPI

Pedram Sinai

  • Sports Medicine (Internal Medicine) Physician
  • Encino, CA
National Provider Identifier
1275995359
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
161481 Issued in CA
Practice address
16661 Ventura Blvd Ste 515
Encino, CA 91436-1972
Phone
(818) 990-4030
Fax
(818) 990-4031
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D89563 MD
Sports Medicine (Internal Medicine) Physician 207RS0010X D89563 MD
Sports Medicine (Internal Medicine) Physician 207RS0010X 161481 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 515
Encino, CA 91436-1972

Mailing address

16661 Ventura Blvd Ste 515
Encino, CA 91436-1972
Phone (818) 990-4030

Other practice location 1

615 W MacPhail Rd Ste 106
Bel Air, MD 21014-4393
Phone (410) 638-8900

Other practice location 2

47 New Scotland Ave
Department of Internal Medicine
Albany, NY 12208-3412
Phone (518) 262-5377

Other practice location 3

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4763

Other practice location 4

263 Farmington Ave Dept Of
Farmington, CT 06030
Phone (860) 679-4763

Other practice location 5

615 W MacPhail Rd Ste 106
Bel Air, MD 21014-4393
Phone (410) 638-8900

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
I20220915002372 CA Practitioner - Internal Medicine 7012252042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16661 Ventura Blvd
Suite 515
Encino, CA 91436-1972
Phone (818) 990-4030

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161481CAMDSports Medicine (Internal Medicine) Physician
D89563MDMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
P Sinai MD Sports Medicine CurrentSince Sep 12, 2022 Accepting new patients

Locations

16661 Ventura Blvd
Ste 515
Encino, CA 91436
Phone (310) 993-5613

Interoperability endpoints

  • Direct secure messaging: pedram.sinai.1@10128.direct.athenahealth.com

Organizations & group practices 1

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1275995359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 515",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361972",
            "telephone_number": "818-990-4030",
            "fax_number": "818-990-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 515",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361972",
            "telephone_number": "818-990-4030",
            "fax_number": "818-990-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 W MacPhail Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144393",
            "country_code": "US",
            "telephone_number": "410-638-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47 New Scotland Ave",
            "address_2": "Department of Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083412",
            "country_code": "US",
            "telephone_number": "518-262-5377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "06030",
            "country_code": "US",
            "telephone_number": "860-679-4763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Farmington Ave Dept Of",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "06030",
            "country_code": "US",
            "telephone_number": "860-679-4763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 W MacPhail Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144393",
            "country_code": "US",
            "telephone_number": "410-638-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINAI",
        "first_name": "PEDRAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D89563",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "MD",
            "license": "D89563",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "CA",
            "license": "161481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.