Individual provider Active NPI

Behnoud Beroukhim, M.D.

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1639477136
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A117510 Issued in CA
Practice address
8635 W 3Rd St Ste 1195W
Los Angeles, CA 90048-6146
Phone
(310) 423-8661
Fax
(310) 423-8665
NPI assigned
Mar 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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 A117510 CA Primary

Addresses

Primary practice location

8635 W 3Rd St Ste 1195W
Los Angeles, CA 90048-6146

Mailing address

8635 W 3Rd St Ste 1195W
Los Angeles, CA 90048-6146
Phone (310) 423-8661

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
I20140327002020 CA Practitioner - NephrologyPractitioner - Internal Medicine 3678704053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Baylor College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-1447

8723 Alden Dr
Suite 260
Los Angeles, CA 90048-1804
Phone (310) 248-8299

Hospital & facility affiliations

  • USRC Westside Dialysis Dialysis facility, Los Angeles, CA, CCN 052837
  • USRC Beverly Hills Dialysis facility, Beverly Hills, CA, CCN 552783
  • USRC West LA Dialysis Dialysis facility, Los Angeles, CA, CCN 052809
  • DaVita Tower Dialysis Dialysis facility, Los Angeles, CA, CCN 052643
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117510CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Jan 1, 2014 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

8635 W 3rd St
Ste 1195W
Los Angeles, CA 90048
Phone (310) 423-8661

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
Ste B220
West Hollywood, CA 90048
Phone (310) 423-5252

8700 Beverly Blvd
Bldg 220
West Hollywood, CA 90048
Phone (310) 423-5252

Interoperability endpoints

  • Direct secure messaging: bberoukhim132309@direct.cshs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1639477136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 1195W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486146",
            "telephone_number": "310-423-8661",
            "fax_number": "310-423-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 1195W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486146",
            "telephone_number": "310-423-8661",
            "fax_number": "310-423-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEROUKHIM",
        "first_name": "BEHNOUD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A117510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.