Moshe Ben-Roohi, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A108444 Issued in CA

Practice address

2811 Wilshire Boulevard, Ste 610
Santa Monica, CA 90403-4814

Phone

(310) 453-2335

Fax

(214) 393-4645

NPI assigned

Dec 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2012 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: moshe.benroohi@lifespan.eclinicaldirectplus.com

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

{
    "created_epoch": "1198972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1497930275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BOULEVARD, STE 610",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034814",
            "telephone_number": "310-453-2335",
            "fax_number": "214-393-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BOULEVARD, STE 610",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034814",
            "telephone_number": "310-453-2335",
            "fax_number": "214-393-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN-ROOHI",
        "first_name": "MOSHE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-30",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A108444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey C. Bell
• Crystal Gammage Bell
• Kristen Renee Bell, RD
• Ben Bhupendra Pradhan
• Dana Oren Ben-Artzi, MD
• Sharon Ben-Roohi, D.D.S.
• Kristin A Bendikson, M.D.
• Lana Mae Benedek, M.D.
• Benjamin C Bengs, MD
• Benjamin Behroozan M D Inc

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.