SEAN DELSHAD M.D.
NPI 1265894257
Internal Medicine in Santa Monica, CA

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
1250 16TH ST # C2304, SANTA MONICA, CA 90404(310) 319-4698 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 1, 2019, May 2, 2019, Mar 28, 2016 (3 updates tracked since 2016).

About Sean Delshad M.d. NPPES

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

SEAN DELSHAD M.D. (NPI 1265894257) is an individual internal medicine provider in Santa Monica, California, licensed in California (A153480) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2016).

NPPES Registry Identity

NPI1265894257
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSEAN DELSHADCredential: M.D.
Location Address1250 16TH ST # C2304Santa Monica, CA 90404-1249
Mailing Address5767 W Century Blvd Suite 400Los Angeles, CA 90045-5631
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateAugust 1, 20193 updates tracked since enumeration
NPI 1265894257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A153480
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.
Also ListedHospitalistTaxonomy 208M00000X · License A153480 (CA)
1250 16TH ST # C2304, Santa Monica, CA 90404

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

Sean Delshad 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 ID6608120787
PECOS Enrollment IDI20190411001696
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 5

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.
240 services78 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.
84 services49 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.
70 services68 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services25 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

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
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Nurse Practitioner (Acute Care)
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Nurse Practitioner
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Internal Medicine
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Internal Medicine
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404

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 Sean Delshad's NPI number?

The NPI number for Sean Delshad is 1265894257. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Sean Delshad located?

Sean Delshad practices at 1250 16th St # C2304, Santa Monica, CA 90404. The listed phone number is (310) 319-4698.

What is Sean Delshad's specialty?

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

Is Sean Delshad enrolled in Medicare?

Yes. Sean Delshad 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 Sean Delshad was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.