DR. MEHRAN SOUREHNISSANI (M.D.) – Internal Medicine Physician, NPI 1992745285

DR. MEHRAN SOUREHNISSANI (M.D.) is a healthcare provider. based in Inglewood, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A68196 (CA). The NPI Number for DR. MEHRAN SOUREHNISSANI (M.D.) is 1992745285

Main info

Male
37 Years Of Experience
Name
DR. MEHRAN SOUREHNISSANI (M.D.)
NPI
1992745285
Phone
(310) 677-9400
Address
3451 W CENTURY BLVD
Enumeration Date
7 June 2006
Last Update Date
11 September 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3106779400
Graduation Year
1989 (37 years ago)
PAC ID
2365410727
Group Practice PAC ID
8729056189
Professional Enrollment ID
I20040924000384
Address ID
CA903031228IN3451XBLVD402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for DR. MEHRAN SOUREHNISSANI (M.D.)

  • West Century Boulevard, Westmont, Inglewood, Los Angeles County, California, 90303, United States

    B-1

    INGLEWOOD, CA 903031227

    Phone: (310) 677-9400

    Fax: (310) 677-9402

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($125).

Total Amount

$142

General + Research + Ownership

Payments

2

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$125
Amgen Inc.$17
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: 2004-09-24

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
I20040924000384IInternal MedicineCATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,774289$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes968106$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes380307$0
99239Hospital discharge day management, more than 30 minutes375306$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes13792$0
View full utilization report →

Insurance plans in this area (ZIP 90303)

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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: 8729056189View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MEHRAN SOUREHNISSANI (M.D.)'s NPI?
Yes. DR. MEHRAN SOUREHNISSANI (M.D.) is listed with NPI 1992745285 in the public NPI dataset.
Can I rely on DR. MEHRAN SOUREHNISSANI (M.D.) being an active provider?
As of the registry snapshot, DR. MEHRAN SOUREHNISSANI (M.D.) is marked active.
What is DR. MEHRAN SOUREHNISSANI (M.D.)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. MEHRAN SOUREHNISSANI (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MEHRAN SOUREHNISSANI (M.D.) on a map?
Expect Inglewood, California as a primary anchor for DR. MEHRAN SOUREHNISSANI (M.D.) unless the record lists multiple sites.
Why does DR. MEHRAN SOUREHNISSANI (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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