OMEED MODIRI MD
NPI 1386220796
Dermatology in Santa Monica, CA

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
2001 SANTA MONICA BLVD STE 1070, SANTA MONICA, CA 90404(310) 917-3376(310) 582-6302 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2025, Mar 24, 2021 (2 updates tracked since 2021).

About Omeed Modiri Md NPPES

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

OMEED MODIRI MD (NPI 1386220796) is an individual dermatology provider in Santa Monica, California, licensed in California (A182940) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386220796
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameOMEED MODIRICredential: MD
Location Address2001 SANTA MONICA BLVD STE 1070Santa Monica, CA 90404-2202
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Fax(310) 582-6302
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1386220796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A182940
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2001 SANTA MONICA BLVD STE 1070, 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

Omeed Modiri 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 ID4486175635
PECOS Enrollment IDI20250305000570
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.

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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 5

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

Dermatology
2001 SANTA MONICA BLVD STE 1070
SANTA MONICA, CA 90404
Dermatology
2001 SANTA MONICA BLVD STE 1070
SANTA MONICA, CA 90404
Dermatology
2001 SANTA MONICA BLVD STE 1070
SANTA MONICA, CA 90404
Dermatology
2001 SANTA MONICA BLVD STE 1070
SANTA MONICA, CA 90404
Dermatology
2001 SANTA MONICA BLVD STE 1070
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 Omeed Modiri's NPI number?

The NPI number for Omeed Modiri is 1386220796. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Omeed Modiri located?

Omeed Modiri practices at 2001 Santa Monica Blvd Ste 1070, Santa Monica, CA 90404. The listed phone number is (310) 917-3376.

What is Omeed Modiri's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Omeed Modiri enrolled in Medicare?

Yes. Omeed Modiri 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 Omeed Modiri was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.