Individual provider Active NPI

David J Soomekh, DPM

  • Podiatrist
  • Beverly Hills, CA
National Provider Identifier
1831108679
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4431 Issued in CA
Practice address
450 N Roxbury Dr
Suite 200
Beverly Hills, CA 90210-4231
Phone
(310) 651-2366
Fax
(310) 651-2360
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4431 CA Primary

Addresses

Primary practice location

450 N Roxbury Dr
Suite 200
Beverly Hills, CA 90210-4231

Mailing address

450 N Roxbury Dr
Suite 200
Beverly Hills, CA 90210-4231
Phone (310) 651-2366

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040715001438 CA Practitioner - Podiatry 3375522055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

450 N Roxbury Dr
Suite 200
Beverly Hills, CA 90210-4216
Phone (310) 651-2366

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.7 of 100Reported as individual
Quality
34
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of nail tissue237
Removal or shaving of skin growth103
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4431CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
David J. Soomekh DPM, a Professional Corporation Podiatrist CurrentSince Aug 1, 2013 Accepting new patients
University Foot and Ankle Institute a Podiatric Surgical Center Podiatrist Past Accepting new patients
University Foot and Ankle Institute a Podiatric Surgical Center Podiatrist PastSince Jan 1, 2008 Accepting new patients

Locations

450 N Roxbury Dr
Ste 200
Beverly Hills, CA 90210
Phone (310) 651-2366

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 2

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1831108679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104231",
            "telephone_number": "310-651-2366",
            "fax_number": "310-651-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104231",
            "telephone_number": "310-651-2366",
            "fax_number": "310-651-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOMEKH",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.