DR. ALI SEPEHR M.D.
NPI 1386833069
Otolaryngology - Facial Plastic Surgery in Newport Beach, CA
NPI Status: Active since October 18, 2007
Contact Information
360 SAN MIGUEL DR STE 409
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 371-6963
Fax: (949) 313-7757
- Individual
- Male
- Years of Experience 22
- Otolaryngology
- Facial Plastic Surgery
- May Accept Medicare Approved Payment
- PECOS Enrolled
About ALI SEPEHR
This page provides the complete NPI Profile along with additional information for Ali Sepehr, a provider established in Newport Beach, California with a medical specialization in Otolaryngology, focusing in facial plastic surgery and more than 22 years of experience. He graduated from University Of California, Geffen School Of Medicine in 2004. The healthcare provider is registered in the NPI registry with number 1386833069 assigned on October 2007. The practitioner's primary taxonomy code is 207YS0123X with license number A93414 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1386833069
- Provider Name
- DR. ALI SEPEHR M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 360 SAN MIGUEL DR STE 409 NEWPORT BEACH, CA 92660
- Location Phone
- (949) 371-6963
- Location Fax
- (949) 313-7757
- Mailing Address
- 360 SAN MIGUEL DR STE 409 NEWPORT BEACH, CA 92660
- Mailing Phone
- (949) 371-6963
- Mailing Fax
- (949) 313-7757
- Medical School Name
- UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
- Graduation Year
- 2004
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-18-2007
- Last Update Date
- 12-05-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology Facial Plastic Surgery
- Taxonomy Code
- 207YS0123X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A93414
- License State
- CA
- Taxonomy Description
- An otolaryngologist who specializes in facial plastic surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | A93414 (CA) |
| 2 | 207YX0905X | Allopathic & Osteopathic Physicians | Otolaryngology | A93414 (CA) |
| 3 | 208200000X | Allopathic & Osteopathic Physicians | Plastic Surgery | A93414 (CA) |
| 4 | 2082S0099X | Allopathic & Osteopathic Physicians | Plastic Surgery | A93414 (CA) |
Medicare Participation & PECOS Enrollment Status
Ali Sepehr is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Ali Sepehr is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4183803935
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110125000957
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1386833069, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
NEWPORT BEACH, CA 92660
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386833069, enumerated as an "individual" on October 18, 2007.
The provider is located at 360 SAN MIGUEL DR STE 409 NEWPORT BEACH, CA 92660 and the phone number is (949) 371-6963.
Otolaryngology with taxonomy code 207YS0123X and a focus in Facial Plastic Surgery.
