DR. BEENA KAZI M.D.
NPI 1063667830
Emergency Medicine - Pediatric Emergency Medicine in Tustin, CA
About Dr. Beena Kazi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BEENA KAZI M.D. (NPI 1063667830) is an individual pediatric emergency medicine provider in Tustin, California, licensed in California (A132259) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Beena Kazi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Beena Kazi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 97 clinicians in this Medicare group
Las Vegas, NV 89144
- Reassigned Medicare billing, Nevada enrollment
- 150 clinicians in this Medicare group
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 92780 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Beena Kazi's NPI number?
The NPI number for Beena Kazi is 1063667830. It was assigned to this individual provider in the NPPES registry on November 20, 2008.
Where is Beena Kazi located?
Beena Kazi practices at 14971 Holt Ave, Tustin, CA 92780. The listed phone number is (949) 356-7676.
What is Beena Kazi's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.
Is Beena Kazi enrolled in Medicare?
Yes. Beena Kazi is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Beena Kazi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Beena Kazi reassigns Medicare benefits to 2 organizations: Emergency Medicine Specialists Of Orange County (Orange, CA) and Pokroy Medical Group Of Nevada, Ltd. (Las Vegas, NV). Each 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 Beena Kazi'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 Beena Kazi was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Beena Kazi, M.D. · NPI 1063667830
Pediatric Emergency Medicine physician in Tustin, California. Individual provider, active in the CMS NPPES registry since November 20, 2008.
## Identity
- **NPI:** 1063667830 (Entity type: Individual)
- **Enumerated:** November 20, 2008
- **Primary specialty:** Emergency Medicine - Pediatric Emergency Medicine · taxonomy 207PP0204X
- **State license:** A132259 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 14971 HOLT AVE, Tustin, CA 92780-3406
- **Phone:** (949) 356-7676
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Specialists Of Orange County (NPI 1740214733, Orange, CA); Pokroy Medical Group Of Nevada, Ltd. (NPI 1992809412, Las Vegas, NV) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063667830) · Data from the CMS NPPES public registry.