PEDRAM SINAI
NPI 1275995359
Internal Medicine - Sports Medicine in Encino, CA

Q: What is Pedram Sinai's NPI number?

The NPI number for Pedram Sinai is 1275995359. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Q: What is Pedram Sinai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Q: When was this NPI record last updated?

The NPPES record for Pedram Sinai was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 28, 2016PECOS EnrolledAccepts Medicare Assignment

6.76/100

CMS Quality Rating

16661 VENTURA BLVD STE 515, ENCINO, CA 91436(818) 990-4030(818) 990-4031 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2022, Feb 20, 2021, Dec 28, 2020 and 3 more (6 updates tracked since 2016).

On this page

About Pedram Sinai NPPES

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

PEDRAM SINAI (NPI 1275995359) is an individual sports medicine provider in Encino, California, licensed in California (161481) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1275995359

Entity TypeIndividualMale

Primary Taxonomy207RS0010X

Provider Legal NamePEDRAM SINAI

Location Address16661 VENTURA BLVD STE 515Encino, CA 91436-1972

Mailing Address16661 Ventura Blvd Ste 515Encino, CA 91436-1972 · (818) 990-4030 · Fax (818) 990-4031

Phone(818) 990-4030

Fax(818) 990-4031

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 28, 2016

Last NPPES UpdateAugust 30, 20226 updates tracked since enumeration

NPPES CertifiedAugust 30, 2022

✔ NPI 1275995359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0010X

Licenses✔ Licensed in CA · 161481✔ Licensed in MD · D89563

Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

Also ListedInternal MedicineTaxonomy 207R00000X · License D89563 (MD)

16661 VENTURA BLVD STE 515, Encino, CA 91436

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1615 W MacPhail Rd Ste 106Bel Air, MD 21014-4393 · Phone (410) 638-8900

Location 2263 Farmington Ave Dept OfFarmington, CT 06030 · Phone (860) 679-4763

Location 347 New Scotland Ave, Department of Internal MedicineAlbany, NY 12208-3412 · Phone (518) 262-5377

Location 4263 Farmington AveFarmington, CT 06030 · Phone (860) 679-4763

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

Pedram Sinai 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 ID7012252042

PECOS Enrollment IDI20220915002372

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 Reassignment

Medicare enrollment records show Pedram Sinai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

P Sinai MD

Same address

Sports Medicine

16661 VENTURA BLVD STE 515
Encino, CA 91436

Reassigned Medicare billing, California enrollment

NPI 1689394686 (818) 990-4030

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 15

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318

Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.

1,980 services21 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.

934 services274 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

378 services90 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.

141 services141 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

87 services37 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

86 services44 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

69 services45 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

62 services39 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

60 services18 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

47 services17 patients

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.

41 services38 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

21 services21 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

21 services21 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

18 services17 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

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.

6.76/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

22.55

Reported Quality Measures

Breast Cancer Screening

43%114 patients2/55-star benchmark: 93%

Cervical Cancer Screening

0%50 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

14%96 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

60%125 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

0%59 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

86%59 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

84%1,162 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%315 patients1/55-star benchmark: 100%

HIV Screening

2%127 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

35%415 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

23%244 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

17%704 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 397 patients

0%397 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82%297 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 5% · 274 patients

Patients totalRate: 25% · 324 patients

30%324 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers12 claims29 services$3.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. ESFANDIAR ESFANDIARIFARD MD

Internal Medicine

16661 VENTURA BLVD STE 515
ENCINO, CA 91436

Los Angeles County (818) 990-4030

E. ESFANDIARIFARD M D INC

Internal Medicine

16661 VENTURA BLVD STE 515
ENCINO, CA 91436

Los Angeles County (818) 990-4030

P SINAI MD

Internal Medicine (Sports Medicine)

16661 VENTURA BLVD STE 515
ENCINO, CA 91436

Los Angeles County (818) 990-4030

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 Pedram Sinai's NPI number?

The NPI number for Pedram Sinai is 1275995359. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Pedram Sinai located?

Pedram Sinai practices at 16661 Ventura Blvd Ste 515, Encino, CA 91436. The listed phone number is (818) 990-4030.

What is Pedram Sinai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Pedram Sinai enrolled in Medicare?

Yes. Pedram Sinai 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 organization bills Medicare for Pedram Sinai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedram Sinai reassigns Medicare benefits to P Sinai MD (Encino, CA). The 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 Pedram Sinai'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 Pedram Sinai was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.