Dr Saum Bobak Ghodoussipour, MD in Los Angeles, CA

Dr Saum Bobak Ghodoussipour, MD is a medicare enrolled "Urology" physician in Los Angeles, California. He went to Temple University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Urology. He is a member of the group practice Rutgers Health-rwj Scleroderma Program and his current practice location is 1516 San Pablo St Fl 5, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 865-3700.

Dr Saum Bobak Ghodoussipour is licensed to practice in California (license number A137177) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003298019.

Contact Information

	Dr Saum Bobak Ghodoussipour, MD
	1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313
	(323) 865-3700
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Saum Bobak Ghodoussipour
Gender	Male
Speciality	Urology
Experience	11 Years
Location	1516 San Pablo St Fl 5, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Saum Bobak Ghodoussipour attended and graduated from Temple University School Of Medicine in 2013

NPI Data:

NPI Number: 1003298019
Provider Enumeration Date: 06/25/2015
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6507159902
Enrollment ID: I20200729000818

Medical Identifiers

Medical identifiers for Dr Saum Bobak Ghodoussipour such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003298019	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	A137177 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vna Of Central Jersey Home Care & Hospice	Toms river, NJ	Home health agency
Robert Wood Johnson University Hospital	New brunswick, NJ	Hospital
Community Medical Center	Toms river, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rutgers Health-rwj Scleroderma Program	5193764991	307

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Saum Bobak Ghodoussipour allows following entities to bill medicare on his behalf.

Entity Name	Rutgers Health-rwj Surgical Oncology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487688495 PECOS PAC ID: 7911986849 Enrollment ID: O20040715000313

Entity Name	Rutgers Health-rwj Scleroderma Program
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679655781 PECOS PAC ID: 5193764991 Enrollment ID: O20050502000326

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Saum Bobak Ghodoussipour is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Saum Bobak Ghodoussipour, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 865-3700	Dr Saum Bobak Ghodoussipour, MD 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 Ph: (323) 865-3700

Reviews and Comments

Urology Doctors in Los Angeles, CA

Victor Nitti, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 Phone: 310-794-7700 Fax: 310-794-0211
Dr. Carol Joan Bennett, M.D. Urology Medicare: Medicare Enrolled Practice Location: 11301 Wilshire Blvd # 10h2, Los Angeles, CA 90073 Phone: 310-478-3711 Fax: 310-268-4967
Arie Belldegrun, MD Urology Medicare: Medicare Enrolled Practice Location: 200 Medical Plz, Suite 140, Los Angeles, CA 90095 Phone: 310-794-7700 Fax: 310-301-8751
Dr. Stuart Holden, Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 Phone: 310-825-1172 Fax: 310-794-0987
Jay J Stein, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 8635 W 3rd St, Suite 460w, Los Angeles, CA 90048 Phone: 310-652-8810 Fax: 310-652-0334
Dr. Philip Werthman, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2080 Century Park E Ste 907, Los Angeles, CA 90067 Phone: 310-277-2873 Fax: 310-286-2139

Dr Saum Bobak Ghodoussipour, MD - Medicare Urology in Los Angeles, CA