DR. ROY D NINI (M.D.) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1679633960

DR. ROY D NINI (M.D.) is a healthcare provider. based in Los angeles, California. specializing in PHYSICAL MEDICINE AND REHABILITATION, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. A79898 (CA). The NPI Number for DR. ROY D NINI (M.D.) is 1679633960

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROY D NINI (M.D.)
NPI
1679633960
Phone
(310) 423-9885
Address
444 S SAN VICENTE BLVD
Enumeration Date
9 December 2006
Last Update Date
29 September 2007

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
3104239900
Graduation Year
1998 (28 years ago)
PAC ID
5092605170
Group Practice PAC ID
4385723279
Professional Enrollment ID
I20040319001429
Address ID
CA900484165LO444XXBLVD500
Telehealth
Yes
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

1,149 PHYSICAL MEDICINE AND REHABILITATION in CA

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Provider Addresses for DR. ROY D NINI (M.D.)

  • San Vicente Boulevard, South Carthay, Carthay, Los Angeles, Los Angeles County, California, 90048, United States

    STE 800

    LOS ANGELES, CA 900484165

    Phone: (310) 423-9885

    Type: Location

  • 6217, Orange Street, Carthay, Mid-Wilshire, Los Angeles, Los Angeles County, California, 90048, United States

    STE #2

    LOS ANGELES, CA 900484869

    Phone: (323) 571-3578

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 85 Open Payments records for all available years, with a total value of $2,058.

Total Amount is formed as General ($2,058) + Research ($0) + Ownership ($0) = $2,058.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($1,074).

Total Amount

$2,058

General + Research + Ownership

Payments

85

Total payment records

General Amount

$2,058

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2004-03-19

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
I20040319001429IPhysical Medicine And RehabilitationCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1,221427$0
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg80015$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study794318$0
J2001Injection, lidocaine hcl for intravenous infusion, 10 mg648302$0
20553Injection of trigger points, 3 or more muscles622297$0
View full utilization report →

Insurance plans in this area (ZIP 90048)

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Provider's Procedures

DR. ROY D NINI (M.D.) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOCA64493Injections of lower or sacral spine facet joint using imaging guidance1615

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: 4385723279View full group profile
NameSpecialtyState
Pain Management, Physical Medicine And Rehabilitation, Interventional Pain ManagementCA
Interventional Pain Management, Physical Medicine And RehabilitationCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ROY D NINI (M.D.)?
DR. ROY D NINI (M.D.) — NPI 1679633960 — is the standard way to identify this listing.
Is DR. ROY D NINI (M.D.) listed as active for patients and plans?
The listing shows DR. ROY D NINI (M.D.) as active in the NPI system.
What healthcare role does DR. ROY D NINI (M.D.) hold?
Scheduling teams often label DR. ROY D NINI (M.D.) under Sports Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Does DR. ROY D NINI (M.D.) list a practice location?
Patients near Los Angeles, California may find DR. ROY D NINI (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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