Active NPI
Kiumars Bakshandeh, M.D.
- Specialist
- Beverly Hills, CA
National Provider Identifier
1700945144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A031570
- Practice address
- 9730 Wilshire Blvd
Suite 115
Beverly Hills, CA 90212-2022 - Phone
- (310) 274-6139
- Fax
- (310) 274-1032
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A031570 | CA | Primary |
Addresses
Primary practice location
9730 Wilshire Blvd
Suite 115
Beverly Hills, CA 90212-2022
Mailing address
9730 Wilshire Blvd
Suite 115
Beverly Hills, CA 90212-2022
Phone (310) 274-6139
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101203000980 | CA | Practitioner - Urology | 8628265527 | Practice locations: Beverly Hills, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9730 Wilshire Blvd
Suite 115
Beverly Hills, CA 90212-2003
Phone (310) 274-6139
Hospital & facility affiliations
- Cedars-Sinai Medical Center
- Providence Cedars Sinai Tarzana Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A031570 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Healthcare System, Inc | Past | Accepting new patients |
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.
-
- Psychiatric Hospital Unit
- Culver City, CA
- NPI 1487905725
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1700945144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9730 WILSHIRE BLVD",
"address_2": "SUITE 115",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122022",
"telephone_number": "310-274-6139",
"fax_number": "310-274-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 WILSHIRE BLVD",
"address_2": "SUITE 115",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122022",
"telephone_number": "310-274-6139",
"fax_number": "310-274-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKSHANDEH",
"first_name": "KIUMARS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A031570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.