Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1013924455
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
99 N LA CIENEGA BLVD STE 107
BEVERLY HILLS, CA 902112285
Phone: (310) 652-3000
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 174 Open Payments records for all available years, with a total value of $3,778.
Total Amount is formed as General ($3,778) + Research ($0) + Ownership ($0) = $3,778.
Last reported payment date: 2024-03-11 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($516).
Total Amount
$3,778
General + Research + Ownership
Payments
174
Total payment records
General Amount
$3,778
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $516 |
| Novo Nordisk Inc | $516 |
| Lilly USA, LLC | $467 |
| Insulet Corporation | $286 |
| ABBVIE INC. | $268 |
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: 2004-05-27
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 |
|---|---|---|---|---|
| I20040527001321 | I | Endocrinology | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,965 | 349 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 829 | 447 | $0 |
| 83036 | Hemoglobin a1c level | 438 | 227 | $0 |
| 82947 | Blood glucose (sugar) level | 374 | 213 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 263 | 191 | $0 |
Insurance plans in this area (ZIP 90211)
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Provider's Procedures
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