DR. KOUROSH F. GHASSEMI MD
NPI 1215016969
Internal Medicine - Gastroenterology in Santa Cruz, CA

Q: What is Kourosh Ghassemi's NPI number?

The NPI number for Kourosh Ghassemi is 1215016969. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Q: What is Kourosh Ghassemi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Kourosh Ghassemi was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 November 03, 2006PECOS EnrolledAccepts Medicare Assignment

1662 DOMINICAN WAY, SANTA CRUZ, CA 95065(831) 460-7350(831) 460-7351 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Kourosh F. Ghassemi Md NPPES

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

DR. KOUROSH F. GHASSEMI MD (NPI 1215016969) is an individual gastroenterology provider in Santa Cruz, California, licensed in California (A64588) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1996).

NPPES Registry Identity

NPI1215016969

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. KOUROSH F. GHASSEMICredential: MD

Location Address1662 DOMINICAN WAYSanta Cruz, CA 95065-1522

Mailing Address2025 Soquel Ave.Santa Cruz, CA 95062-1323 · (831) 460-7350

Phone(831) 460-7350

Fax(831) 460-7351

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1996

Enumeration DateNovember 3, 2006

Last NPPES UpdateSeptember 17, 2014

✔ NPI 1215016969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · A64588

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1662 DOMINICAN WAY, Santa Cruz, CA 95065

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Other Identifiers 3

Medicare ID-Type Unspecified00A645880

Medicare PINEU643SCA

Medicare UPING99016

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

Dr. Kourosh F. Ghassemi 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 ID7416028584

PECOS Enrollment IDI20080617000435

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 Kourosh Ghassemi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Bay Medical Foundation

18 mi

Ambulatory Surgical

2506 SAMARITAN CT
San Jose, CA 95124

Reassigned Medicare billing, California enrollment
Also billed through NPI 1043654486 (California), NPI 1568851327 (California), NPI 1982845186 (California), NPI 1013950807 (California), NPI 1306241534 (California)
184 clinicians in this Medicare group

NPI 1033817168 (408) 203-3941

South Salem Rehabilitation, LLC

547 mi

Skilled Nursing Facility

3445 BOONE RD SE
Salem, OR 97317

Reassigned Medicare billing, Oregon and Washington enrollments
Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
Also billed through NPI 1871848457 (Washington)
3,207 clinicians in this Medicare group

NPI 1215071998 (503) 576-3000

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 6

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

18 services18 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

17 services17 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

15 services15 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

13 services13 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.

12 services12 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95065 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

$141.77 typical visit price

range $62.97 – $186.69

Typical copayment $35.44 (range $15.74 – $46.67)

Most-billed visit code 99204

Established Patient

$109.72 typical visit price

range $21.02 – $153.16

Typical copayment $27.43 (range $5.25 – $38.29)

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 14

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

LAURA KOUE FNP-C

Nurse Practitioner (Family)