KUSHI MEHROTRA (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1679627889

KUSHI MEHROTRA (MD) is a healthcare provider. based in Redondo beach, California. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A67348 (CA). The NPI Number for KUSHI MEHROTRA (MD) is 1679627889

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
KUSHI MEHROTRA (MD)
NPI
1679627889
Phone
(310) 921-3634
Address
2728 RALSTON LN
Enumeration Date
23 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5092461111
Graduation Year
1992 (34 years ago)
PAC ID
3173511672
Group Practice PAC ID
4082986070
Professional Enrollment ID
I20121113000705
Address ID
WA988519126SO127XXSWXX400
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

711 GERIATRIC MEDICINE in CA

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Provider Addresses for KUSHI MEHROTRA (MD)

  • 2728, Ralston Lane, El Nido, Redondo Beach, Los Angeles County, California, 90278, United States

    REDONDO BEACH, CA 902784617

    Phone: (310) 921-3634

    Type: Mailing

  • Metro;Metro;Torrance, South Vermont Avenue, Harbor City, Los Angeles County, California, 90710, United States

    TORRANCE, CA 905022550

    Phone: (310) 320-4130

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-11-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121113000705IGeriatric MedicineWATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2414$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 90278)

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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: 4082986070View full group profile

Reviews

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Frequently asked questions

How do payers reference KUSHI MEHROTRA (MD)?
For KUSHI MEHROTRA (MD), use NPI 1679627889 as the unique 10-digit identifier.
Is KUSHI MEHROTRA (MD) still an active registrant?
KUSHI MEHROTRA (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for KUSHI MEHROTRA (MD)?
At a glance, KUSHI MEHROTRA (MD) is tied to Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in California is KUSHI MEHROTRA (MD) registered?
Use Redondo Beach, California as the headline location for KUSHI MEHROTRA (MD) here.
Can I trust this NPI listing for KUSHI MEHROTRA (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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