Allen Benjamin Yeroushalmi, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A112058 Issued in CA

Practice address

9001 Wilshire Blvd Ste 306
Beverly Hills, CA 90211-1841

Phone

(424) 666-1597

NPI assigned

Jun 19, 2008

Last updated

Nov 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Ophthalmology

Education

Albert Einstein College of Medicine of Yeshiva University, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South la Eye ClinicGroup PAC ID 6103347596, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Allen B. Yeroushalmi, M.D., P.C.

  • Ophthalmology Physician
  • Beverly Hills, CA
  • NPI 1245740711
  Medicare reassignment NPD Authorized official
• South la Eye Clinic

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1710706874
  Medicare reassignment Care Compare group NPD
• Good Samaritan Hospital, L.P.

  dba Good Samaritan Hospital

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)
• Mary Demirjian, O.D., Inc.

  • Optometrist
  • Encino, CA
  • NPI 1366744856
  NPD (past)
• Pih Health Good Samaritan Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1508859323
  NPD (past)
• The New York and Presbyterian Hospital

  dba NewYork-Presbyterian Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1194832477
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1952562159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20058 VENTURA BLVD",
            "address_2": "# 139",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642637",
            "telephone_number": "914-725-5556",
            "fax_number": "914-725-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD STE 306",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111841",
            "telephone_number": "424-666-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEROUSHALMI",
        "first_name": "ALLEN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A112058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6427784",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12365420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE PTAN",
            "identifier": "335719",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard Su Hau Yeh, MD
• Emily Hana Yekta
• Branden Gutlay Yeo, DC
• Claudia Yepez, LCSW
• Daniel Yeroshalmi
• Stephanie Yi, PA-C
• Bethesda Yohannes
• Jonathan Nathanel Yomtoubian, DDS
• Donald B Yoo, M.D.
• Stephen Yoo, M.D.

• Ophthalmology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.

Verify at the official NPI Registry.