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

BASSEM MERIT SHOUCRI MD
NPI 1639705528
Pediatrics - Pediatric Endocrinology in Los Angeles, CA

Q: What is Bassem Shoucri's NPI number?

The NPI number for Bassem Shoucri is 1639705528. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Q: What is Bassem Shoucri's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Bassem Shoucri was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since March 23, 2020PECOS Enrolled

200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095(310) 825-0867 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2026, Jul 19, 2022, Mar 23, 2020 (3 updates tracked since 2020).

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About Bassem Merit Shoucri Md NPPES

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

BASSEM MERIT SHOUCRI MD (NPI 1639705528) is an individual pediatric endocrinology provider in Los Angeles, California, licensed in California (A186308) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639705528

Entity TypeIndividualMale

Primary Taxonomy2080P0205X

Provider Legal NameBASSEM MERIT SHOUCRICredential: MD

Location Address200 UCLA MEDICAL PLZ STE 265Los Angeles, CA 90095-8344

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 825-0867

Sole ProprietorNo

Enumeration DateMarch 23, 2020

Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1639705528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in CA · A186308

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Also ListedPediatricsTaxonomy 208000000X · License A186308 (CA), PTL3720 (CA)

200 UCLA MEDICAL PLZ STE 265, Los Angeles, CA 90095

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Secondary Practice Locations 2

Location 110833 Le Conte Ave, MDCC 22-315Los Angeles, CA 90095-3075 · Phone (310) 825-6244

Location 21260 15th St Ste 1024Santa Monica, CA 90404-1145 · Phone (424) 259-8570

Other Identifiers 1

OtherPTL3720CA · Ca State Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bassem Merit Shoucri Md 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 90095 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 20

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

MICHAEL R RECTO MD

Pediatrics (Pediatric Cardiology)