DR. SOUREN FOROUHI M.D.
NPI 1205289410
Family Medicine - Geriatric Medicine in Palo Alto, CA

Q: What is Souren Forouhi's NPI number?

The NPI number for Souren Forouhi is 1205289410. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Q: What is Souren Forouhi's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Souren Forouhi was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 22, 2016PECOS Enrolled

3801 MIRANDA AVE # 171, PALO ALTO, CA 94304(650) 493-5000(650) 849-0500 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2023, Dec 30, 2022, Nov 7, 2019 (3 updates tracked since 2019).

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About Dr. Souren Forouhi M.d. NPPES

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

DR. SOUREN FOROUHI M.D. (NPI 1205289410) is an individual geriatric medicine provider in Palo Alto, California, licensed in California (A157501) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205289410

Entity TypeIndividualMale

Primary Taxonomy207QG0300X

Provider Legal NameDR. SOUREN FOROUHICredential: M.D.

Location Address3801 MIRANDA AVE # 171Palo Alto, CA 94304-1207

Mailing Address901 Marshall StRedwood City, CA 94063-2026 · (650) 207-5987 · Fax (775) 982-5496

Phone(650) 493-5000

Fax(650) 849-0500

Sole ProprietorYes

Enumeration DateJuly 22, 2016

Last NPPES UpdateNovember 22, 20233 updates tracked since enumeration

NPPES CertifiedNovember 22, 2023

✔ NPI 1205289410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in CA · A157501

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 18956 (NV), A157501 (CA)

3801 MIRANDA AVE # 171, Palo Alto, CA 94304

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Other Identifiers 2

MedicaidA157501CA

Other18956NV · Nevada State Board Of Medical Examiners

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Souren Forouhi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Permanente Medical Group Inc

7.3 mi

Internal Medicine

1190 VETERANS BLVD
Redwood City, CA 94063

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1639252604 (650) 299-2000

Riverside Medical Clinic, Inc

350 mi

Family Medicine

12742 LIMONITE AVE
Eastvale, CA 92880

Reassigned Medicare billing, California enrollment
349 clinicians in this Medicare group

NPI 1972845535 (951) 683-6370

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 94304 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

Other Providers at the Same Location NPPES 2

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

DEPARTMENT OF VETERANS AFFAIRS

Special Hospital

3801 MIRANDA AVE # 171
PALO ALTO, CA 94304

Santa Clara County (650) 849-0208

JIYOUNG KIM NP

Nurse Practitioner (Gerontology)

3801 MIRANDA AVE # 171
PALO ALTO, CA 94304

Santa Clara County (650) 493-5000

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 Souren Forouhi's NPI number?

The NPI number for Souren Forouhi is 1205289410. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Where is Souren Forouhi located?

Souren Forouhi practices at 3801 Miranda Ave # 171, Palo Alto, CA 94304. The listed phone number is (650) 493-5000.

What is Souren Forouhi's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Souren Forouhi enrolled in Medicare?

Yes. Souren Forouhi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Souren Forouhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Souren Forouhi reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Redwood City, CA) and Riverside Medical Clinic, Inc (Eastvale, 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 Souren Forouhi'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 Souren Forouhi was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.