AZADEH BRUMAND D.O.
NPI 1710365689
Internal Medicine - Gastroenterology in South Lake Tahoe, CA

Q: What is Azadeh Brumand's NPI number?

The NPI number for Azadeh Brumand is 1710365689. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Q: What is Azadeh Brumand's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Azadeh Brumand was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 12, 2015PECOS EnrolledAccepts Medicare Assignment

93.73/100

CMS Quality Rating

2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 543-5985(530) 543-5986 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2026, May 18, 2022, Feb 24, 2022 and 1 more (4 updates tracked since 2021).

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About Azadeh Brumand D.o. NPPES

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

AZADEH BRUMAND D.O. (NPI 1710365689) is an individual gastroenterology provider in South Lake Tahoe, California, licensed in California (20A18771) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ridgecrest, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1710365689

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameAZADEH BRUMANDCredential: D.O.

Location Address2170 SOUTH AVESouth Lake Tahoe, CA 96150-7026

Mailing Address2170 South AveSouth Lake Tahoe, CA 96150-7026 · (530) 543-5691 · Fax (530) 542-2872

Phone(530) 543-5985

Fax(530) 543-5986

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMay 12, 2015

Last NPPES UpdateMarch 17, 20264 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1710365689 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 · 20A18771

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.

2170 SOUTH AVE, South Lake Tahoe, CA 96150

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Secondary Practice Location 1

Location 11081 N China Lake BlvdRidgecrest, CA 93555-3130 · Phone (760) 499-3899

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

Azadeh Brumand D.o. 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 ID6901199892

PECOS Enrollment IDI20211025002811

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

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

Barton Medical Foundation

Same address

Family Medicine

2170 SOUTH AVE
South Lake Tahoe, CA 96150

Reassigned Medicare billing, California enrollment
148 clinicians in this Medicare group

NPI 1750950499 (530) 541-3420

Tahoe Carson Valley Medical Group Inc

Same address

Family Medicine

2170 SOUTH AVE
South Lake Tahoe, CA 96150

Reassigned Medicare billing, California enrollment
100 clinicians in this Medicare group

NPI 1508865528 (530) 541-3420

Ridgecrest Regional Hospital

259 mi

Critical Access

1081 N CHINA LAKE BLVD
Ridgecrest, CA 93555

Reassigned Medicare billing, California enrollment
143 clinicians in this Medicare group

NPI 1447253125 (760) 446-3551

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

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

134 services107 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

102 services100 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

65 services65 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

64 services58 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

64 services64 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

61 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96150 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.

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.

93.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.26

Promoting Interoperability

100

Improvement Activities

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.

BARTON HEALTHCARE SYSTEM

General Acute Care Hospital