David Pougatsch, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4977 Issued in CA

Practice address

9663 Santa Monica Blvd Ste 682
Beverly Hills, CA 90210-4303

Phone

(310) 919-4179

Fax

(877) 239-0994

NPI assigned

Jan 5, 2011

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dpougatsch106874@direct.cshs.org

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.

• Wound Institute of America

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1437505393
  Medicare reassignment NPD
• Under Pressure Hyperbarics Medical Corp

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Beverly Hills, CA
  • NPI 1457982696
  NPD
• Robertson Surgical Institute, Inc.

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1528714839
  NPD (past)

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1619271616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD STE 682",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-919-4179",
            "fax_number": "877-239-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD STE 682",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-919-4179",
            "fax_number": "877-239-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUGATSCH",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sepehr Poormonajemzadeh
• Bruce Anthony Porfilio, PH.D.
• Zoe Possick, APRN
• Erica Daniela Potap, PHARMD
• Samantha Lauren Potthoff, LMFT
• Philippe Pouilloux, P.T.
• Bijan Pourat, MD
• Dalia Pourati, D.D.S
• Ira Iradj Pouratian, M.D.
• Benjamin Pourmorady

• Foot & Ankle Surgery Podiatrist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.