DR. PEGAH SAMOUHI DPM
NPI 1023565165
Podiatrist - Foot & Ankle Surgery in Los Angeles, CA

Active since September 07, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
8631 W 3RD ST, LOS ANGELES, CA 90048(310) 657-2828 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 2, 2021, Dec 4, 2018, Sep 13, 2018 (3 updates tracked since 2018).

About Dr. Pegah Samouhi Dpm NPPES

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

DR. PEGAH SAMOUHI DPM (NPI 1023565165) is an individual foot & ankle surgery provider in Los Angeles, California, licensed in California (E5404) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1023565165
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. PEGAH SAMOUHICredential: DPM
Location Address8631 W 3RD STLos Angeles, CA 90048-5901
Mailing Address16661 Ventura Blvd, Ste 705Encino, CA 91436-1990 · (818) 789-7891
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 7, 2016
Last NPPES UpdateNovember 2, 20213 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
NPI 1023565165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses Licensed in CA · E5404 Licensed in CA · EL6732
8631 W 3RD ST, Los Angeles, CA 90048

Secondary Practice Locations 2

Location 18700 Beverly BlvdWest Hollywood, CA 90048-1804 · Phone (310) 423-2777
Location 216661 VENTURA BLVD, STE 705ENCINO, CA 91436-1990 · Phone (818) 789-7891

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Pegah Samouhi Dpm 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 ID2668724485
PECOS Enrollment IDI20181016003702
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 12

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
512 services175 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
472 services184 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
140 services121 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
130 services62 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services54 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients

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

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.

Internal Medicine (Cardiovascular Disease)
8631 W 3RD ST, SUITE 1030
LOS ANGELES, CA 90048
Physician Assistant
8631 W 3RD ST, 715E
LOS ANGELES, CA 90048
Dentist (General Practice)
8631 W 3RD ST, 1010E
LOS ANGELES, CA 90048
Surgery (Vascular Surgery)
8631 W 3RD ST, SUITE 615E
LOS ANGELES, CA 90048
Internal Medicine (Pulmonary Disease)
8631 W 3RD ST, SUITE 735
LOS ANGELES, CA 90048
Internal Medicine (Pulmonary Disease)
8631 W 3RD ST, SUITE 735E
LOS ANGELES, CA 90048
Dentist (General Practice)
8631 W 3RD ST, SUITE 730-E
LOS ANGELES, CA 90048
Otolaryngology
8631 W 3RD ST, SUITE 440 EAST
LOS ANGELES, CA 90048

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 Pegah Samouhi's NPI number?

The NPI number for Pegah Samouhi is 1023565165. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is Pegah Samouhi located?

Pegah Samouhi practices at 8631 W 3rd St, Los Angeles, CA 90048. The listed phone number is (310) 657-2828.

What is Pegah Samouhi's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Pegah Samouhi enrolled in Medicare?

Yes. Pegah Samouhi 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.

When was this NPI record last updated?

The NPPES record for Pegah Samouhi was last updated on November 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.