Individual provider Active NPI

Sousan Karimi, M.D.,

  • Nephrology Physician
  • Beverly Hills, CA
National Provider Identifier
1497795140
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A68107 Issued in CA
Practice address
8641 Wilshire Blvd Ste 300
Beverly Hills, CA 90211-2921
Phone
(310) 652-9162
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A68107 CA Primary

Addresses

Primary practice location

8641 Wilshire Blvd Ste 300
Beverly Hills, CA 90211-2921

Mailing address

8641 Wilshire Blvd Ste 300
Beverly Hills, CA 90211-2921
Phone (310) 652-9162

Other identifiers 1

IdentifierTypeStateIssuer
A68107OtherCASTATE LICENSE

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
I20060905000335 CA Practitioner - NephrologyPractitioner - Internal Medicine 6002826021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
George Washington University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tower Nephrology Medical GroupGroup PAC ID 2860402872, 7 clinicians

Practice addresses (Care Compare)

8641 Wilshire Blvd
Suite 300
Beverly Hills, CA 90211-2921
Phone (310) 652-9162

Hospital & facility affiliations

  • DaVita Tower Dialysis Dialysis facility, Los Angeles, CA, CCN 052643
  • Spirit Home Health Care Home health agency, Los Angeles, CA, CCN 058018
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Cedar-Sinai Marina del Rey Hospital Hospital, Marina del Rey, CA, CCN 050740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68107CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Nephrology Medical Group Nephrology CurrentSince Jan 1, 2006 Accepting new patients

Locations

8641 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 652-9162

8635 W 3rd St
Ste 485W
Los Angeles, CA 90048
Phone (310) 652-9162

8635 W 3rd St
Ste 485
West Hollywood, CA 90048
Phone (310) 652-9162

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: skarimi103023@direct.cshs.org

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.

Hospital & facility affiliations 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1497795140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BLVD STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112921",
            "telephone_number": "310-652-9162",
            "fax_number": "310-854-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BLVD STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112921",
            "telephone_number": "310-652-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIMI",
        "first_name": "SOUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-04-20",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A68107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A68107",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.