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DR. SEPEHR POORMONAJEMZADEH
NPI 1457196107
Dentist - Periodontics in Beverly Hills, CA

Active since June 26, 2024PECOS Enrolled
137 S REEVES DR APT 302, BEVERLY HILLS, CA 90212(213) 909-3176 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sepehr Poormonajemzadeh NPPES

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

DR. SEPEHR POORMONAJEMZADEH (NPI 1457196107) is an individual periodontics provider in Beverly Hills, California, licensed in Texas (40339) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457196107
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SEPEHR POORMONAJEMZADEH
Location Address137 S REEVES DR APT 302Beverly Hills, CA 90212-3035
Mailing Address137 S Reeves Dr Apt 302Beverly Hills, CA 90212-3035 · (213) 909-3176
Phone(213) 909-3176
Sole ProprietorNo
Enumeration DateJune 26, 2024
NPPES CertifiedJune 26, 2024
✔ NPI 1457196107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 40339
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

137 S REEVES DR APT 302, Beverly Hills, CA 90212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sepehr Poormonajemzadeh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90212 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.

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 Sepehr Poormonajemzadeh's NPI number?

The NPI number for Sepehr Poormonajemzadeh is 1457196107. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Sepehr Poormonajemzadeh located?

Sepehr Poormonajemzadeh practices at 137 S Reeves Dr Apt 302, Beverly Hills, CA 90212. The listed phone number is (213) 909-3176.

What is Sepehr Poormonajemzadeh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Sepehr Poormonajemzadeh enrolled in Medicare?

Yes. Sepehr Poormonajemzadeh is registered in the Medicare PECOS enrollment system.

What insurance does Sepehr Poormonajemzadeh accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 18 other insurers list Sepehr Poormonajemzadeh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sepehr Poormonajemzadeh was last updated on June 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.