Individual provider Active NPI

Pedram James Enayati, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1841403029
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A91106 Issued in CA
Practice address
361 South Canon Drive
Beverly Hills, CA 90212
Phone
(310) 277-7676
NPI assigned
May 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A91106 CA Primary

Addresses

Primary practice location

361 South Canon Drive
Beverly Hills, CA 90212

Mailing address

361 South Canon Drive
Beverly Hills, CA 90212
Phone (310) 277-7676

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
I20090724000503 CA Practitioner - Gastroenterology 6901959832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of California, Geffen School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Hospitalist Associates IncGroup PAC ID 0547566150, 2 clinicians
Gastroenterology Associates of Beverly HillsGroup PAC ID 5799979076, 5 clinicians

Practice addresses (Care Compare)

8631 W 3Rd St
Suite 815
Los Angeles, CA 90048-5905
Phone (310) 858-2224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy429
Upper gastrointestinal (GI) endoscopy for acid reflux586

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apa Medical Group, Inc. CurrentSince Jan 18, 2023 Accepting new patients
Gastroenterology Associates of Beverly Hills CurrentSince Aug 4, 2010 Accepting new patients
National Ambulatory Surgery Center, LLC Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122

9033 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 858-1242

12556 Valley View St
Garden Grove, CA 92845
Phone (714) 897-9355

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

8631 W 3rd St
Ste 815
Los Angeles, CA 90048
Phone (310) 858-2222

15251 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0052

302 W La Veta Ave
Ste 100
Orange, CA 92866
Phone (408) 358-1555

8631 W 3rd St
Ste 815E
West Hollywood, CA 90048
Phone (310) 652-3055

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841403029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 SOUTH CANON DRIVE",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-277-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 SOUTH CANON DRIVE",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-277-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENAYATI",
        "first_name": "PEDRAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A91106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.