POONE SHOURESHI (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician, NPI 1023472149
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,307 UROLOGY in CA
Provider Addresses for POONE SHOURESHI (M.D.)
23961 CALLE DE LA MAGDALENA STE 500
LAGUNA HILLS, CA 926537622
Phone: (949) 855-1101
Fax: (949) 289-9171
Type: Mailing
Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97201, United States
PORTLAND, OR 972393011
Phone:
Type: Mailing
Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
OHSU,
PORTLAND, OR 97239
Phone: (503) 494-8211
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 142 Open Payments records for all available years, with a total value of $4,477.
Total Amount is formed as General ($4,477) + Research ($0) + Ownership ($0) = $4,477.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Boston Scientific Corporation ($1,982).
Total Amount
$4,477
General + Research + Ownership
Payments
142
Total payment records
General Amount
$4,477
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,982 |
| Medtronic, Inc. | $1,168 |
| ABBVIE INC. | $397 |
| Sumitomo Pharma America, Inc. | $163 |
| BLUEWIND MEDICAL | $154 |
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: 2023-03-20
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 |
|---|---|---|---|---|
| I20230320002368 | I | Urology | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 95 | 83 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 92 | 85 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 59 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 27 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 92653)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | MO | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| U R O L O G Y | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| U R O L O G Y | CA |
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