GURMANDER S KOHLI (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1225066962

GURMANDER S KOHLI (M.D.) is a healthcare provider. based in Los angeles, California. specializing in GENERAL PRACTICE, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. C51411 (CA). The NPI Number for GURMANDER S KOHLI (M.D.) is 1225066962

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
GURMANDER S KOHLI (M.D.)
NPI
1225066962
Phone
(909) 558-3111
Address
54701 FILE NUMBER
Enumeration Date
29 June 2006
Last Update Date
14 July 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9092178633
Graduation Year
1973 (53 years ago)
PAC ID
7113934886
Group Practice PAC ID
3971016494
Professional Enrollment ID
I20060321000655
Address ID
CA913445720GR17541STXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,034 GENERAL PRACTICE in CA

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Provider Addresses for GURMANDER S KOHLI (M.D.)

  • 54701 FILE NUMBER

    LOS ANGELES, CA 900744701

    Phone: (909) 558-3111

    Type: Mailing

  • 11370, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States

    SUITE 2100

    LOMA LINDA, CA 923543450

    Phone: (909) 558-2822

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: Inari Medical, Inc. ($93).

Total Amount

$147

General + Research + Ownership

Payments

6

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060321000655IGeneral PracticeCATBD
I20150806011735IPlastic And Reconstructive SurgeryMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
29581Application of vein wound compression bandages on lower leg, ankle, and foot12032$0
11042Removal of skin and tissue, 20.0 sq cm or less2718$0
99213Established patient office or other outpatient visit, 20-29 minutes2113$0
View full utilization report →

Insurance plans in this area (ZIP 90074)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971016494View full group profile
NameSpecialtyState
Internal MedicineCA
Internal MedicineCA

Reviews

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Frequently asked questions

Where can patients find GURMANDER S KOHLI (M.D.)'s NPI?
You can confirm GURMANDER S KOHLI (M.D.) with NPI 1225066962; it appears in the national provider directory.
Does this profile mean GURMANDER S KOHLI (M.D.) is currently active?
Yes — GURMANDER S KOHLI (M.D.) appears active in the national provider directory.
What kind of provider is GURMANDER S KOHLI (M.D.)?
The page reflects Plastic and Reconstructive Surgery Physician for GURMANDER S KOHLI (M.D.). Clinical services aligned with this taxonomy classification.
Does GURMANDER S KOHLI (M.D.) practice in California?
You will see Los Angeles, California on file for GURMANDER S KOHLI (M.D.) alongside any extra practice locations.
Is GURMANDER S KOHLI (M.D.) a real provider?
This page reflects official NPPES data for NPI 1225066962. Always confirm identity and privileges with the practice and licensing boards.

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