Individual provider Active NPI

Kiumars Bakshandeh, M.D.

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1700945144
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A031570 Issued in CA
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Los Angeles, CA, CCN 050625
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A031570CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.