Individual provider Active NPI

Marc J. Kayem, MD

  • Otolaryngology Physician
  • Beverly Hills, CA
National Provider Identifier
1467653972
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A49693 Issued in CA
Practice address
465 N Roxbury Dr
Suite 1001
Beverly Hills, CA 90210-4206
Phone
(310) 248-6250
NPI assigned
May 31, 2007
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A49693 CA Primary

Addresses

Primary practice location

465 N Roxbury Dr
Suite 1001
Beverly Hills, CA 90210-4206

Mailing address

465 N. Roxbury Dr #1001
Suite 340
Beverly Hills, CA 90210-1800
Phone (310) 248-6250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110803000836 CA Practitioner - Otolaryngology 4981690658 Reassigns benefits to 1 organization
I20170210000739 NV Practitioner - OtolaryngologyPractitioner - Other (Physician) 4981690658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marc J Kayem M D IncGroup PAC ID 2264428937, 2 clinicians

Practice addresses (Care Compare)

120 S Spalding Dr
Suite 300
Beverly Hills, CA 90212-1837
Phone (310) 777-7879

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49693CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marc J Kayem MD Inc CurrentSince Jan 1, 2000 Accepting new patients
Aalpha Surgical Center Inc PastSince Feb 1, 2000 Accepting new patients

Locations

120 S Spalding Dr
Ste 300
Beverly Hills, CA 90212
Phone (310) 204-4111

465 N Roxbury Dr
Ste 1001
Beverly Hills, CA 90210
Phone (310) 248-6250

2851 N Tenaya Way
Ste 103
Las Vegas, NV 89128
Phone (702) 309-4878

5380 S Rainbow Blvd
Ste 306
Las Vegas, NV 89118
Phone (702) 362-9930

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1467653972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N. ROXBURY DR #1001",
            "address_2": "SUITE 340",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101800",
            "telephone_number": "310-248-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR",
            "address_2": "SUITE 1001",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104206",
            "telephone_number": "310-248-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYEM",
        "first_name": "MARC",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A49693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.