NPIMap

Individual provider Active NPI

Eli Ahdoot, D.O

  • Orthopaedic Surgery Physician
  • Burbank, CA
National Provider Identifier
1609280478
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20A14257 Issued in CA
Practice address
191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
Phone
(310) 526-7144
Fax
(310) 526-7157
NPI assigned
Jun 19, 2014
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20A14257 CA Primary

Addresses

Primary practice location

191 S Buena Vista St Ste 370
Burbank, CA 91505-4562

Mailing address

191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
Phone (310) 526-7144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190719001986 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7315273950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eli Ahdoot DO IncGroup PAC ID 5496159378, 3 clinicians

Practice addresses (Care Compare)

191 S Buena Vista St
Suite 370
Burbank, CA 91505-4562
Phone (310) 526-7144

9461 Pittsburgh Ave
Suite a
Rancho Cucamonga, CA 91730-9022
Phone (310) 526-7144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement23
Knee replacement89
Lower limb (leg) arthroscopy (minimally invasive joint repair)14
Upper limb (arm) arthroscopy (minimally invasive joint repair)12
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14257CAMDAddiction (Substance Use Disorder) Counselor
20A14257CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Surgical Inc Orthopaedic Surgery Current Accepting new patients
Eli Ahdoot, DO, Inc. CurrentSince Aug 1, 2021 Accepting new patients
West Hills Hospital Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Dignity Health Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Arroyo Grande Surgical Institute, LLC PastSince Jul 17, 2022 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Glendale Fidelity Medical Group Inc Orthopaedic Surgery Past Accepting new patients

Locations

191 S Buena Vista St
Ste 370
Burbank, CA 91505
Phone (310) 526-7144

11822 Downey Ave
Downey, CA 90241
Phone (562) 927-1116

2080 Century Park E
Ste 710
Los Angeles, CA 90067
Phone (310) 556-7747

9461 Pittsburgh Ave
Ste A
Rch Cucamonga, CA 91730
Phone (310) 526-7144

5170 Sepulveda Blvd
Ste 240
Sherman Oaks, CA 91403
Phone (818) 783-5000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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 10

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1609280478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 S BUENA VISTA ST STE 370",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054562",
            "telephone_number": "310-526-7144",
            "fax_number": "310-526-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 S BUENA VISTA ST STE 370",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054562",
            "telephone_number": "310-526-7144",
            "fax_number": "310-526-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHDOOT",
        "first_name": "ELI",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A14257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.