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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MOSEN MICHAEL DEFRAWY MD
NPI 1457409401
Internal Medicine in Montebello, CA

Active since January 08, 2007PECOS Enrolled
520 W BEVERLY BLVD, MONTEBELLO, CA 90640(323) 920-0505 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2026, Feb 6, 2026 (2 updates tracked since 2026).

About Mosen Michael Defrawy Md NPPES

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

MOSEN MICHAEL DEFRAWY MD (NPI 1457409401) is an individual internal medicine provider in Montebello, California, licensed in California (G60701) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pomona, and is a graduate of University Of Maryland School Of Medicine (1985).

NPPES Registry Identity

NPI1457409401
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMOSEN MICHAEL DEFRAWYCredential: MD
Location Address520 W BEVERLY BLVDMontebello, CA 90640-3622
Mailing Address433 N 4th St Ste 205aMontebello, CA 90640-4311 · (323) 920-0505
Phone(323) 920-0505
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1985
Enumeration DateJanuary 8, 2007
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1457409401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G60701
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.
520 W BEVERLY BLVD, Montebello, CA 90640
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Secondary Practice Location 1

Location 12112 S Garey Ave Ste CPomona, CA 91766-5600 · Phone (909) 464-0520 · Fax (909) 464-0523

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mosen Michael Defrawy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921049818
PECOS Enrollment IDI20050520000640
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 Reassignments

3

Medicare enrollment records show Mosen Defrawy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beverlycare
0.1 mi
Federally Qualified Health Center (FQHC)
433 N 4TH ST STE 205A
Montebello, CA 90640
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1750106332 (909) 939-1319
Advanced Mobile Wound Care
23 mi
General Practice
15130 VENTURA BLVD STE 324
Sherman Oaks, CA 91403
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1013731009 (818) 726-5686
Provision Wound Care Inc
23 mi
Internal Medicine
15130 VENTURA BLVD STE 251
Sherman Oaks, CA 91403
  • Reassigned Medicare billing, California enrollment
NPI 1760272124 (310) 269-6644

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90640 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.

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.

BEVERLYCARE
Clinic/Center (Federally Qualified Health Center (FQHC))
520 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 920-0505
ALEXANDER LIM CHENG M.D.
Internal Medicine
520 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 721-0690
DR. LYDIA CHUA AGUILERA M.D.
Obstetrics & Gynecology
520 W BEVERLY BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 721-0690

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 Mosen Defrawy's NPI number?

The NPI number for Mosen Defrawy is 1457409401. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Mosen Defrawy located?

Mosen Defrawy practices at 520 W Beverly Blvd, Montebello, CA 90640. The listed phone number is (323) 920-0505.

What is Mosen Defrawy's specialty?

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

Is Mosen Defrawy enrolled in Medicare?

Yes. Mosen Defrawy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mosen Defrawy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mosen Defrawy reassigns Medicare benefits to 3 organizations: Beverlycare (Montebello, CA), Advanced Mobile Wound Care (Sherman Oaks, CA) and Provision Wound Care Inc (Sherman Oaks, CA). Each 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 Mosen Defrawy'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 Mosen Defrawy was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.