DR. HELDER DE PAIVA M.D.
NPI 1174610273
Internal Medicine - Nephrology in Los Angeles, CA

Active since October 09, 2006PECOS EnrolledAccepts Medicare Assignment
98.81/100
CMS Quality Rating
5901 W OLYMPIC BLVD, LOS ANGELES, CA 90036(310) 205-2595(310) 388-5999 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 26, 2020, Aug 15, 2019, Feb 9, 2019 and 2 more (5 updates tracked since 2015).

About Dr. Helder De Paiva M.d. NPPES

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

DR. HELDER DE PAIVA M.D. (NPI 1174610273) is an individual nephrology provider in Los Angeles, California, licensed in California (C149852) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1174610273
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. HELDER DE PAIVACredential: M.D.
Location Address5901 W OLYMPIC BLVDLos Angeles, CA 90036-4667
Mailing Address8306 Wilshire Blvd # 666Beverly Hills, CA 90211-2304 · (310) 205-2595 · Fax (310) 388-5999
Fax(310) 388-5999
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 9, 2006
Last NPPES UpdateFebruary 26, 20205 updates tracked since enumeration
NPI 1174610273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in CA · C149852 Licensed in FL · ME92869
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedSpecialistTaxonomy 174400000X · License ME92869 (FL)
5901 W OLYMPIC BLVD, Los Angeles, CA 90036

Other Identifiers 1

Medicaid278676100FL

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. Helder De Paiva 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 ID9335233964
PECOS Enrollment IDI20180411001991
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 9

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 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.
1,927 services495 patients
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.
1,615 services279 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.
411 services326 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
227 services31 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.
177 services88 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.
96 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90036 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.

98.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90
Promoting Interoperability100
Improvement Activities40
Cost72.71

Reported Quality Measures

Breast Cancer Screening
21%47 patients1/55-star benchmark: 93%
Cervical Cancer Screening
28%58 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
31%139 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
55%65 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
8%40 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
30%40 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%1,239 patients4/55-star benchmark: 100%
e-Prescribing
99%288 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
82%343 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
31%595 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
51%550 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%738 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 93% · 223 patients
89%223 patients
Provide Patients Electronic Access to Their Health Information
100%123 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 14% · 156 patients
Patients totalRate: 24% · 156 patients
26%156 patients2/55-star benchmark: 100%
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 3

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims390 services$4.46 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims5,148 services$0.58 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
2 suppliers12 claims12 services$9.02 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 20

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

Internal Medicine (Nephrology)
5901 W OLYMPIC BLVD, SUITE 307
LOS ANGELES, CA 90036
Internal Medicine (Nephrology)
5901 W OLYMPIC BLVD, SUITE 307
LOS ANGELES, CA 90036
Internal Medicine (Infectious Disease)
5901 W OLYMPIC BLVD, 500
LOS ANGELES, CA 90036
Internal Medicine
5901 W OLYMPIC BLVD, #208
LOS ANGELES, CA 90036
Durable Medical Equipment & Medical Supplies
5901 W OLYMPIC BLVD, SUITE 102
LOS ANGELES, CA 90036
Non-Pharmacy Dispensing Site
5901 W OLYMPIC BLVD, SUITE 204
LOS ANGELES, CA 90036
Internal Medicine (Nephrology)
5901 W OLYMPIC BLVD, 305
LOS ANGELES, CA 90036
Internal Medicine (Nephrology)
5901 W OLYMPIC BLVD, SUITE 307
LOS ANGELES, CA 90036

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 Helder De Paiva's NPI number?

The NPI number for Helder De Paiva is 1174610273. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Helder De Paiva located?

Helder De Paiva practices at 5901 W Olympic Blvd, Los Angeles, CA 90036. The listed phone number is (310) 205-2595.

What is Helder De Paiva's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Helder De Paiva enrolled in Medicare?

Yes. Helder De Paiva 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 Helder De Paiva was last updated on February 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.