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DR. PANE AKSONE NOUVONG DPM
NPI 1144326729
Podiatrist - Foot Surgery in Los Angeles, CA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
91.36/100
CMS Quality Rating
200 MEDICAL PLAZA SUITE 526, LOS ANGELES, CA 90095(310) 267-0172(310) 725-4037 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2021, Dec 20, 2019 (2 updates tracked since 2019).

About Dr. Pane Aksone Nouvong Dpm NPPES

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

DR. PANE AKSONE NOUVONG DPM (NPI 1144326729) is an individual foot surgery provider in Los Angeles, California, licensed in California (E4265) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pomona, and is a graduate of California School Of Podiatric Medicine (1998).

NPPES Registry Identity

NPI1144326729
Entity TypeIndividualFemale
Primary Taxonomy213ES0131X
Provider Legal NameDR. PANE AKSONE NOUVONGCredential: DPM
Location Address200 MEDICAL PLAZA SUITE 526Los Angeles, CA 90095-2007
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 267-0172
Fax(310) 725-4037
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1998
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJanuary 5, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
✔ NPI 1144326729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in CA · E4265
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License E4265 (CA)
200 MEDICAL PLAZA SUITE 526, Los Angeles, CA 90095
Open in Google Maps ↗

Secondary Practice Location 1

Location 1795 E 2nd St Ste 7Pomona, CA 91766-2007 · Phone (909) 706-3877 · Fax (909) 706-3942

Other Identifiers 1

OtherE4265CA · Ca Dpm Lic

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. Pane Aksone Nouvong 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 ID4284788639
PECOS Enrollment IDI20090819000355
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 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.

91.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.39
Promoting Interoperability100
Improvement Activities40
Cost55.53

Other Providers at the Same Location NPPES

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

DR. VERONICA SULLINS MD
Surgery (Pediatric Surgery)
200 MEDICAL PLAZA SUITE 526
LOS ANGELES, CA 90095
Los Angeles County (310) 206-2429

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 Pane Aksone Nouvong's NPI number?

The NPI number for Pane Aksone Nouvong is 1144326729. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Pane Aksone Nouvong located?

Pane Aksone Nouvong practices at 200 Medical Plaza Suite 526, Los Angeles, CA 90095. The listed phone number is (310) 267-0172.

What is Pane Aksone Nouvong's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Pane Aksone Nouvong enrolled in Medicare?

Yes. Pane Aksone Nouvong 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 Pane Aksone Nouvong was last updated on January 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.