SHAHAB MEHDIZADEH MD INC
NPI 1568669596
Internal Medicine - Gastroenterology in Beverly Hills, CA

Active since July 02, 2007
240 S LA CIENEGA BLVD, 102, BEVERLY HILLS, CA 90211(310) 246-4100(310) 285-2029 Get Directions Write a Review

NPPES record last updated: July 7, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shahab Mehdizadeh Md Inc NPPES

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

SHAHAB MEHDIZADEH MD INC (NPI 1568669596) is a healthcare organization registered as a gastroenterology in Beverly Hills, California and active in the NPI registry since July 2007. The organization lists Shahab Mehdizadeh, President, as its authorized official.

NPPES Registry Identity

NPI1568669596
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSHAHAB MEHDIZADEH MD INC
Location Address240 S LA CIENEGA BLVD, 102Beverly Hills, CA 90211-3324
Mailing Address240 S La Cienega Blvd, 102Beverly Hills, CA 90211-3324 · (310) 246-4100 · Fax (310) 285-2029
Fax(310) 285-2029
Organization SubpartNo
Authorized OfficialShahab MehdizadehPresident · (310) 246-4100
Enumeration DateJuly 2, 2007
Last NPPES UpdateJuly 7, 2011
✔ NPI 1568669596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A76490
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
240 S LA CIENEGA BLVD, Beverly Hills, CA 90211

Other Identifiers 1

OtherA76490CA · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shahab Mehdizadeh Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shahab Mehdizadeh MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gastroenterology
NPI 1790715241
240 S LA CIENEGA BLVD SUIT 102
Beverly Hills, CA 90211
(310) 246-4100
✔ PECOS✔ Accepts MedicareSame address

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

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 Shahab Mehdizadeh MD Inc's NPI number?

The NPI number for Shahab Mehdizadeh MD Inc is 1568669596. It was assigned to this organization in the NPPES registry on July 2, 2007.

Where is Shahab Mehdizadeh MD Inc located?

Shahab Mehdizadeh MD Inc is located at 240 S La Cienega Blvd 102, Beverly Hills, CA 90211. The listed phone number is (310) 246-4100.

What is Shahab Mehdizadeh MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shahab Mehdizadeh MD Inc enrolled in Medicare?

Yes. Shahab Mehdizadeh MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shahab Mehdizadeh MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Shahab Mehdizadeh MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shahab Mehdizadeh MD Inc was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.