DR. PEGAH SAMOUHI (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1023565165
Foot & Ankle Surgery Podiatrist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,833 PODIATRY in CA
Provider Addresses for DR. PEGAH SAMOUHI (DPM)
16661, Ventura Boulevard, Encino, Los Angeles, Los Angeles County, California, 91436, United States
STE 705
ENCINO, CA 914361990
Phone: (818) 789-7891
Type: Mailing
8700 Beverly Blvd
West Hollywood, CA 900481804
Phone: (310) 423-2777
Type: Location
16661 VENTURA BLVD
STE 705
ENCINO, CA 914361990
Phone: (818) 789-7891
Type: Location
East Medical Office Tower, 8631, West 3rd Street, Beverly Grove, Los Angeles, Los Angeles County, California, 90211, United States
LOS ANGELES, CA 900485901
Phone: (310) 657-2828
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $422.
Total Amount is formed as General ($422) + Research ($0) + Ownership ($0) = $422.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($217).
Total Amount
$422
General + Research + Ownership
Payments
12
Total payment records
General Amount
$422
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS, INC. | $217 |
| Paratek Pharmaceuticals, Inc. | $46 |
| Nevro Corp. | $40 |
| Novo Nordisk Inc | $30 |
| Organogenesis Inc. | $28 |
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: 2018-10-16
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 |
|---|---|---|---|---|
| I20181016003702 | I | Podiatry | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 324 | 161 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 314 | 165 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 92 | 81 | $0 |
| 11057 | Removal of noncancer thickened skin growth, more than 4 growths | 65 | 38 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 64 | 12 | $0 |
Insurance plans in this area (ZIP 91436)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | CA |
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