1. Home
  2. Directory
  3. California
  4. Truckee
  5. Family Medicine
  6. NPI Profile

DR. MICHELLE SORAYA POURTABIB MD
NPI 1003398611
Family Medicine in Truckee, CA

Active since August 30, 2018PECOS Enrolled
69.15/100
CMS Quality Rating
12030 DONNER PASS RD STE 1-720, TRUCKEE, CA 96161(916) 258-5827 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2024, Aug 24, 2022, Feb 14, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Michelle Soraya Pourtabib Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELLE SORAYA POURTABIB MD (NPI 1003398611) is an individual family medicine provider in Truckee, California, licensed in California (A177647) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003398611
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHELLE SORAYA POURTABIBCredential: MD
Location Address12030 DONNER PASS RD STE 1-720Truckee, CA 96161-0449
Mailing Address12030 Donner Pass Rd Ste 1-720Truckee, CA 96161-0449 · (916) 258-5827
Phone(916) 258-5827
Sole ProprietorYes
Enumeration DateAugust 30, 2018
Last NPPES UpdateSeptember 23, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1003398611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A177647
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12030 DONNER PASS RD STE 1-720, Truckee, CA 96161
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Soraya Pourtabib Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Pourtabib reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eastern Plumas Health Care District
36 mi
Critical Access
480 1ST AVE
Portola, CA 96122
  • Reassigned Medicare billing, California enrollment
  • 58 clinicians in this Medicare group
NPI 1245236850 (530) 832-6500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96161 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.56
Promoting Interoperability88
Improvement Activities40
Cost23.62

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Pourtabib's NPI number?

The NPI number for Michelle Pourtabib is 1003398611. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Where is Michelle Pourtabib located?

Michelle Pourtabib practices at 12030 Donner Pass Rd Ste 1-720, Truckee, CA 96161. The listed phone number is (916) 258-5827.

What is Michelle Pourtabib's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michelle Pourtabib enrolled in Medicare?

Yes. Michelle Pourtabib is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Pourtabib's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Pourtabib reassigns Medicare benefits to Eastern Plumas Health Care District (Portola, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Pourtabib's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Pourtabib was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.