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SAMUEL A SKOOTSKY MD
NPI 1205856804
Internal Medicine in Los Angeles, CA

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
200 MEDICAL PLAZA, #365,530,420,120, LOS ANGELES, CA 90095(310) 206-4646(310) 267-2571 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Samuel A Skootsky Md NPPES

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

SAMUEL A SKOOTSKY MD (NPI 1205856804) is an individual internal medicine provider in Los Angeles, California, licensed in California (G43765) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1979).

NPPES Registry Identity

NPI1205856804
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAMUEL A SKOOTSKYCredential: MD
Location Address200 MEDICAL PLAZA, #365,530,420,120Los Angeles, CA 90095
Mailing Address5767 W Century Blvd, Suite 200Los Angeles, CA 90045-5632 · (310) 301-5203 · Fax (310) 301-5250
Phone(310) 206-4646
Fax(310) 267-2571
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1979
Enumeration DateJuly 20, 2006
Last NPPES UpdateFebruary 17, 2010
✔ NPI 1205856804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G43765
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 MEDICAL PLAZA, Los Angeles, CA 90095
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Other Identifiers 3

Medicare UPINA92440CA
Medicare PINWG43765BCA
Medicaid00G437650CA

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

Samuel A Skootsky Md 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 ID4981758794
PECOS Enrollment IDI20090813000229
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 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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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.

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.

ANJAY RASTOGI MD
Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,420,120,530
LOS ANGELES, CA 90095
Los Angeles County (310) 794-9718
ROBERTO BALBINO VARGAS MD
Internal Medicine
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6301
MATTHEW ELLIS CONOLLY MD
Internal Medicine
200 MEDICAL PLAZA, #214,365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9583
TIMOTHY A MILLER MD
Plastic Surgery
200 MEDICAL PLAZA, #465
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5510
RAM RAJ SINGH MD
Internal Medicine (Rheumatology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6301
MAIE ABDUL-RAHMAN ST JOHN MD
Otolaryngology
200 MEDICAL PLAZA, #550
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6688
HAMID REZA HAJMOMENIAN MD
Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 319-4371
ANDRE ELIAS NEL MD
Internal Medicine (Allergy & Immunology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6301

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 Samuel Skootsky's NPI number?

The NPI number for Samuel Skootsky is 1205856804. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Samuel Skootsky located?

Samuel Skootsky practices at 200 Medical Plaza #365,530,420,120, Los Angeles, CA 90095. The listed phone number is (310) 206-4646.

What is Samuel Skootsky's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samuel Skootsky enrolled in Medicare?

Yes. Samuel Skootsky 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 Samuel Skootsky was last updated on February 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.