Puja Shahrouki, MD in Thousand Oaks, CA

Puja Shahrouki, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Thousand Oaks, California. His current practice location is 100 Moody Ct Ste 200, Thousand Oaks, California. You can reach out to his office (for appointments etc.) via phone at (310) 301-6800.

Puja Shahrouki is licensed to practice in California (license number A173721) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790276079.

Contact Information

	Puja Shahrouki, MD
	100 Moody Ct Ste 200, Thousand Oaks, CA 91360-6082
	(310) 301-6800
	Not Available

Map and Direction

Physician's Profile

Full Name	Puja Shahrouki
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	100 Moody Ct Ste 200, Thousand Oaks, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790276079
Provider Enumeration Date: 05/23/2018
Last Update Date: 07/11/2023

Medicare PECOS Information:

PECOS PAC ID: 4486011665
Enrollment ID: I20230602000584

Medical Identifiers

Medical identifiers for Puja Shahrouki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790276079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	276542 (Massachusetts)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	A173721 (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. Puja Shahrouki allows following entities to bill medicare on his behalf.

Entity Name	Ucla Radiology Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881670248 PECOS PAC ID: 8921902065 Enrollment ID: O20031120001026

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538

Entity Name	Martin Luther King Jr Community Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311

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. Puja Shahrouki 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
Puja Shahrouki, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Puja Shahrouki, MD 100 Moody Ct Ste 200, Thousand Oaks, CA 91360-6082 Ph: (310) 301-6800

Reviews and Comments

Radiology Doctors in Thousand Oaks, CA

Dr. Catherine A Moses, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 215 W Janss Rd, Thousand Oaks, CA 91360 Phone: 805-370-4282 Fax: 805-370-4590
Dr. Barry D Klein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 215 West Janss Rd, Thousand Oaks, CA 91360 Phone: 805-497-2727 Fax: 805-495-0023
Jason Chen-shan Lee, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 227 W Janss Rd, #150, Thousand Oaks, CA 91360 Phone: 805-496-7755
Dr. Donald Edmond Decker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 415 Rolling Oaks Dr, Thousand Oaks, CA 91361 Phone: 805-778-1513
Steven Lau, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2230 Lynn Rd Ste 103, Thousand Oaks, CA 91360 Phone: 805-496-1111
Mr. Robert Alan Princenthal, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 415 Rolling Oaks Dr, Thousand Oaks, CA 91361 Phone: 805-778-1513
Dr. David Aufrichtig, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2180 Lynn Rd, Thousand Oaks, CA 91360 Phone: 805-495-9442 Fax: 805-496-6595

Puja Shahrouki, MD - Medicare Radiology in Thousand Oaks, CA