DORON BEN AVI MD
NPI 1003846379
Radiology - Diagnostic Radiology in Los Angeles, CA

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1516 COTNER AVE, LOS ANGELES, CA 90025(310) 445-2951(310) 479-1459 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Doron Ben Avi Md NPPES

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

DORON BEN AVI MD (NPI 1003846379) is an individual diagnostic radiology provider in Los Angeles, California, licensed in Texas (G3148) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of University Of Texas Medical Branch At Galveston (1982).

NPPES Registry Identity

NPI1003846379
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDORON BEN AVICredential: MD
Location Address1516 COTNER AVELos Angeles, CA 90025-3303
Mailing Address1516 Cotner AveLos Angeles, CA 90025-3303 · (310) 445-2951 · Fax (310) 479-1459
Fax(310) 479-1459
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1982
Enumeration DateJuly 3, 2006
Last NPPES UpdateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
NPI 1003846379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in TX · G3148 Licensed in CA · C41751
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1516 COTNER AVE, Los Angeles, CA 90025

Secondary Practice Location 1

Location 112554 Riata Vista CirAustin, TX 78727-6431 · Phone (512) 795-5100

Other Identifiers 3

Other00C417510CA · Blue Shield
Medicaid00C417510CA
OtherDG0078CA · Railroad Mcr - Thesta

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Doron Ben Avi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355346800
PECOS Enrollment IDI20160824000251
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.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
897 services599 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
232 services214 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
178 services173 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
101 services97 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
81 services79 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
64 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1516 COTNER AVE
LOS ANGELES, CA 90025
Radiology (Diagnostic Radiology)
1516 COTNER AVE
LOS ANGELES, CA 90025
Radiology (Diagnostic Radiology)
1516 COTNER AVE
LOS ANGELES, CA 90025
Radiology (Diagnostic Radiology)
1516 COTNER AVE
LOS ANGELES, CA 90025
Radiology (Diagnostic Radiology)
1516 COTNER AVE
LOS ANGELES, CA 90025
Radiology (Diagnostic Radiology)
1516 COTNER AVE
LOS ANGELES, CA 90025
Radiology (Diagnostic Radiology)
1516 COTNER AVE
LOS ANGELES, CA 90025
Radiology (Diagnostic Radiology)
1516 COTNER AVE
LOS ANGELES, CA 90025

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 Doron Ben Avi's NPI number?

The NPI number for Doron Ben Avi is 1003846379. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Doron Ben Avi located?

Doron Ben Avi practices at 1516 Cotner Ave, Los Angeles, CA 90025. The listed phone number is (310) 445-2951.

What is Doron Ben Avi's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Doron Ben Avi enrolled in Medicare?

Yes. Doron Ben Avi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Doron Ben Avi accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and WellPoint list Doron Ben Avi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Doron Ben Avi was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.