DR. MICHELLE SORAYA POURTABIB (MD) – Family Medicine Physician, NPI 1003398611
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Loading map...
Provider Addresses for DR. MICHELLE SORAYA POURTABIB (MD)
230, East Cesar E Chavez Avenue, Downtown, Los Angeles, Los Angeles County, California, 90012, United States
LOS ANGELES, CA 900332496
Phone: (323) 226-1100
Type: Mailing
1720, East Cesar E Chavez Avenue, Boyle Heights, Los Angeles, Los Angeles County, California, 90033, United States
LOS ANGELES, CA 900332414
Phone: (323) 268-5000
Type: Location
10121 PINE AVE
TRUCKEE, CA 961614856
Phone: (530) 582-3485
Type: Mailing
12030 DONNER PASS RD STE 1-720
TRUCKEE, CA 961610449
Phone: (916) 258-5827
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $299.
Total Amount is formed as General ($299) + Research ($0) + Ownership ($0) = $299.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Lilly USA, LLC ($162).
Total Amount
$299
General + Research + Ownership
Payments
5
Total payment records
General Amount
$299
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $162 |
| Novo Nordisk Inc | $137 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220818002890 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 17 | $0 |
Insurance plans in this area (ZIP 90033)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Endocrinology, Internal Medicine, Endocrinology | CA | |
| Orthopedic Surgery | CA | |
| Family Practice | CA | |
| Family Practice, Emergency Medicine | CA | |
| Diagnostic Radiology | WI | |
| Emergency Medicine | CA | |
| Emergency Medicine, Internal Medicine | CA | |
| Registered Dietitian Or Nutrition Professional | IL | |
| - | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.