ADEL SANDOUK M.D.
NPI 1043315575
Internal Medicine - Pulmonary Disease in Glendora, CA

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
41.53/100
CMS Quality Rating
210 S GRAND AVE STE 307, GLENDORA, CA 91741(626) 914-2900 Get Directions Write a Review

NPPES record last updated: January 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2020, Nov 17, 2017 (2 updates tracked since 2017).

About Adel Sandouk M.d. NPPES

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

ADEL SANDOUK M.D. (NPI 1043315575) is an individual pulmonary disease provider in Glendora, California, licensed in California (A86608) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Glendora, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1043315575
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameADEL SANDOUKCredential: M.D.
Location Address210 S GRAND AVE STE 307Glendora, CA 91741-4278
Mailing AddressPo Box 122Glendora, CA 91740-0122 · (626) 914-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJanuary 12, 20202 updates tracked since enumeration
NPI 1043315575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · A86608
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
210 S GRAND AVE STE 307, Glendora, CA 91741

Secondary Practice Location 1

Location 1210 S Grand Ave, 207Glendora, CA 91741-4205 · Phone (626) 914-2900

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

Adel Sandouk M.d. 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 ID8325082043
PECOS Enrollment IDI20050614000775
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,282 services166 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
664 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
561 services177 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
560 services281 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
242 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
226 services177 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91741 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

41.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality55.07
Improvement Activities0
Cost31.68

Reported Quality Measures

Documentation of Current Medications in the Medical Record
98%3,351 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
96%1,618 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
90%3,323 patients5/55-star benchmark: 61%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 28

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers61 claims61 services$34.18 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers42 claims81 services$1.23 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
4 suppliers14 claims14 services$9.39 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers40 claims40 services$76.91 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers38 claims103 services$28.90 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers50 claims252 services$15.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Internal Medicine (Pulmonary Disease)
210 S GRAND AVE STE 307
GLENDORA, CA 91741

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 Adel Sandouk's NPI number?

The NPI number for Adel Sandouk is 1043315575. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Adel Sandouk located?

Adel Sandouk practices at 210 S Grand Ave Ste 307, Glendora, CA 91741. The listed phone number is (626) 914-2900.

What is Adel Sandouk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Adel Sandouk enrolled in Medicare?

Yes. Adel Sandouk 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 Adel Sandouk was last updated on January 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.