SOPHIA GHAUS MD
NPI 1558820670
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
97.22/100
CMS Quality Rating
1200 N STATE STREET, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033(323) 409-7556 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2024, Mar 18, 2019 (2 updates tracked since 2019).

About Sophia Ghaus Md NPPES

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

SOPHIA GHAUS MD (NPI 1558820670) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2019).

NPPES Registry Identity

NPI1558820670
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSOPHIA GHAUSCredential: MD
Location Address1200 N STATE STREET, CLINIC TOWER, SUITE A7DLos Angeles, CA 90033-1029
Mailing Address1200 N State Street, Clinic Tower, Suite A7dLos Angeles, CA 90033-1029
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2019
Enumeration DateMarch 18, 2019
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
✔ NPI 1558820670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE STREET, Los Angeles, CA 90033

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

Sophia Ghaus 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 ID6305256439
PECOS Enrollment IDI20220915002762
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

2

Medicare enrollment records show Sophia Ghaus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Internal Medicine
1101 VAN NESS AVE
San Francisco, CA 94109
  • Reassigned Medicare billing, California enrollment
  • 213 clinicians in this Medicare group

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

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.

97.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Promoting Interoperability100
Improvement Activities40
Cost69.53

Other Providers at the Same Location NPPES 20

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

Neurological Surgery
1200 N STATE STREET, SUITE 3300
LOS ANGELES, CA 90033
Psychiatry & Neurology (Psychiatry)
1200 N STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Obstetrics & Gynecology
1200 N STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Dentist (General Practice)
1200 N STATE STREET, CLINICAL TOWER, SUITE A7D
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE STREET, LAC USC MEDICAL CENTER
LOS ANGELES, CA 90033
Internal Medicine (Gastroenterology)
1200 N STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Emergency Medicine
1200 N STATE STREET, CLINIC TOWER, ROOM 1011
LOS ANGELES, CA 90033
Dietitian, Registered (Nutrition, Pediatric)
1200 N STATE STREET
LOS ANGELES, CA 90033

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 Sophia Ghaus's NPI number?

The NPI number for Sophia Ghaus is 1558820670. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Sophia Ghaus located?

Sophia Ghaus practices at 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033. The listed phone number is (323) 409-7556.

What is Sophia Ghaus's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sophia Ghaus enrolled in Medicare?

Yes. Sophia Ghaus 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 organizations bill Medicare for Sophia Ghaus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Ghaus reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Santa Clara, CA) and Pacific Inpatient Medical Group (San Francisco, 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 Sophia Ghaus'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 Sophia Ghaus was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.