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KAYVON SOTOUDEH M.D.
NPI 1659812857
Internal Medicine - Gastroenterology in Livermore, CA

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
1133 E STANLEY BLVD STE 207, LIVERMORE, CA 94550(925) 373-4129 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2024, Jun 8, 2024, Mar 20, 2017 (3 updates tracked since 2017).

About Kayvon Sotoudeh M.d. NPPES

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

KAYVON SOTOUDEH M.D. (NPI 1659812857) is an individual gastroenterology provider in Livermore, California, licensed in California (A158367) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2017).

NPPES Registry Identity

NPI1659812857
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKAYVON SOTOUDEHCredential: M.D.
Location Address1133 E STANLEY BLVD STE 207Livermore, CA 94550-4246
Mailing Address1133 E Stanley Blvd Ste 207Livermore, CA 94550-4246 · (925) 454-6390
Phone(925) 373-4129
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2017
Enumeration DateMarch 20, 2017
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1659812857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A158367
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License A158367 (CA)
1133 E STANLEY BLVD STE 207, Livermore, CA 94550
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kayvon Sotoudeh M.d. 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 ID2264852672
PECOS Enrollment IDI20240617003783
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94550 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 2

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

DR. RU MIN LEE M.D.
Internal Medicine (Gastroenterology)
1133 E STANLEY BLVD STE 207
LIVERMORE, CA 94550
Alameda County (925) 454-6390
HEMNISHIL KUMAR MARELLA DO
Internal Medicine (Gastroenterology)
1133 E STANLEY BLVD STE 207
LIVERMORE, CA 94550
Alameda County (925) 454-6390

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 Kayvon Sotoudeh's NPI number?

The NPI number for Kayvon Sotoudeh is 1659812857. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Kayvon Sotoudeh located?

Kayvon Sotoudeh practices at 1133 E Stanley Blvd Ste 207, Livermore, CA 94550. The listed phone number is (925) 373-4129.

What is Kayvon Sotoudeh's specialty?

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

Is Kayvon Sotoudeh enrolled in Medicare?

Yes. Kayvon Sotoudeh 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.

When was this NPI record last updated?

The NPPES record for Kayvon Sotoudeh was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.