Dr Shahram Bonyadlou, MD is a medicare enrolled "Nuclear Medicine" physician in Los Angeles, California. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Diagnostic Radiology. His current practice location is
1500 San Pablo St Fl 2, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(323) 442-8541.
Dr Shahram Bonyadlou is licensed to practice in California (license number A80028) 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 1982651915.
Physician's Profile
Full Name | Dr Shahram Bonyadlou |
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Gender | Male |
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Speciality | Diagnostic Radiology |
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Experience | 25 Years |
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Location | 1500 San Pablo St Fl 2, Los Angeles, California |
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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 Shahram Bonyadlou graduated from medical school in 1999
NPI Data:
- NPI Number: 1982651915
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113967316
- Enrollment ID: I20050506000446
Medical Identifiers
Medical identifiers for Dr Shahram Bonyadlou such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982651915 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085N0904X | Radiology - Nuclear Radiology | A80028 (California) | Secondary |
207U00000X | Nuclear Medicine | A80028 (California) | Primary |
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 Shahram Bonyadlou allows following entities to bill medicare on his behalf.
Entity Name | Usc Care Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
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Entity Name | United Urgent Care And Wellness Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275948994 PECOS PAC ID: 9234351842 Enrollment ID: O20141116000048 |
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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 Shahram Bonyadlou 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 Shahram Bonyadlou, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-8541 | Dr Shahram Bonyadlou, MD 1500 San Pablo St Fl 2, Los Angeles, CA 90033-5313 Ph: (323) 442-8541 |
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