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CONG RAN
NPI 1194110700
Otolaryngology - Plastic Surgery within the Head & Neck in Santa Monica, CA

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment
1317 5TH ST STE 300, SANTA MONICA, CA 90401(310) 434-0044 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cong Ran NPPES

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

CONG RAN (NPI 1194110700) is an individual plastic surgery within the head & neck provider in Santa Monica, California, licensed in California (A167718) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (2015).

NPPES Registry Identity

NPI1194110700
Entity TypeIndividualFemale
Primary Taxonomy207YX0007X
Provider Legal NameCONG RAN
Location Address1317 5TH ST STE 300Santa Monica, CA 90401-1433
Mailing AddressPo Box 7001Tarzana, CA 91357-7001 · (818) 888-7815 · Fax (818) 715-1722
Phone(310) 434-0044
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2015
Enumeration DateMarch 31, 2015
Last NPPES UpdateApril 6, 2021
NPPES CertifiedApril 6, 2021
✔ NPI 1194110700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in CA · A167718
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License A167718 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1317 5TH ST STE 300, Santa Monica, CA 90401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cong Ran 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 ID7719277797
PECOS Enrollment IDI20210510001608
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 Billing Reassignments

2

Medicare enrollment records show Cong Ran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mark Youssef A Medical Corporation
Same address
Plastic Surgery
1317 5TH ST STE 300
Santa Monica, CA 90401
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1659698181 (310) 434-0044
Geoffrey Trenkle Do A Professional Medical Corporation
16 mi
Otolaryngology
1700 E CESAR E CHAVEZ AVE STE 2500
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1992124978 (909) 569-9097

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.
33 services24 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.
19 services19 patients

Other Providers at the Same Location NPPES 4

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

PAUL MITTERMILLER, MD INC.
Plastic Surgery
1317 5TH ST STE 300
SANTA MONICA, CA 90401
Los Angeles County (858) 255-4223
RACHEL ANNE LEE NP
Nurse Practitioner (Family)
1317 5TH ST STE 300
SANTA MONICA, CA 90401
Los Angeles County (310) 434-0044
MARK YOUSSEF A MEDICAL CORPORATION
Plastic Surgery
1317 5TH ST STE 300
SANTA MONICA, CA 90401
Los Angeles County (310) 434-0044
YOUNIQUE MEDICAL GROUP
General Practice
1317 5TH ST STE 300
SANTA MONICA, CA 90401
Los Angeles County (310) 434-0044

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 Cong Ran's NPI number?

The NPI number for Cong Ran is 1194110700. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Cong Ran located?

Cong Ran practices at 1317 5th St Ste 300, Santa Monica, CA 90401. The listed phone number is (310) 434-0044.

What is Cong Ran's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Cong Ran enrolled in Medicare?

Yes. Cong Ran 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.

Which organizations bill Medicare for Cong Ran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cong Ran reassigns Medicare benefits to 2 organizations: Mark Youssef A Medical Corporation (Santa Monica, CA) and Geoffrey Trenkle Do A Professional Medical Corporation (Los Angeles, CA). 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 Cong Ran'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 Cong Ran was last updated on April 6, 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.