SUSAN DORAIRAJ PMHNP-BC
NPI 1720592520
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since December 01, 2017PECOS EnrolledAccepts Medicare Assignment
5321 VIA MARISOL, LOS ANGELES, CA 90042(323) 478-8200 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 4, 2023, Dec 1, 2017 (2 updates tracked since 2017).

About Susan Dorairaj Pmhnp-bc NPPES

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

SUSAN DORAIRAJ PMHNP-BC (NPI 1720592520) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95006080) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1720592520
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSAN DORAIRAJCredential: PMHNP-BC
Location Address5321 VIA MARISOLLos Angeles, CA 90042-4883
Mailing Address1311 N. San Fernando Blvd.Burbank, CA 91504 · (818) 843-9900
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 1, 2017
Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1720592520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95006080
5321 VIA MARISOL, Los Angeles, CA 90042

Accepted Insurance

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

Susan Dorairaj Pmhnp-bc 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 ID8628045994
PECOS Enrollment IDI20260504007526, I20260507000500
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

3

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

Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Arizona enrollment
  • 33 clinicians in this Medicare group
Home Health
809 CHALAN PASAHERU UNIT 2
Tamuning, GU 96913
  • Reassigned Medicare billing, Guam enrollment
  • 10 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90042 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

Counselor (Mental Health)
5321 VIA MARISOL
LOS ANGELES, CA 90042
Community Health Worker
5321 VIA MARISOL
LOS ANGELES, CA 90042
Student in an Organized Health Care Education/Training Program
5321 VIA MARISOL
LOS ANGELES, CA 90042
Registered Nurse (Psychiatric/Mental Health, Adult)
5321 VIA MARISOL
LOS ANGELES, CA 90042
Social Worker (Clinical)
5321 VIA MARISOL
LOS ANGELES, CA 90042
Community Health Worker
5321 VIA MARISOL
LOS ANGELES, CA 90042
Social Worker (Clinical)
5321 VIA MARISOL
LOS ANGELES, CA 90042
Clinic/Center (Mental Health (Including Community Mental Health Center))
5321 VIA MARISOL
LOS ANGELES, CA 90042

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 Susan Dorairaj's NPI number?

The NPI number for Susan Dorairaj is 1720592520. It was assigned to this individual provider in the NPPES registry on December 1, 2017.

Where is Susan Dorairaj located?

Susan Dorairaj practices at 5321 Via Marisol, Los Angeles, CA 90042. The listed phone number is (323) 478-8200.

What is Susan Dorairaj's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Susan Dorairaj enrolled in Medicare?

Yes. Susan Dorairaj 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 Susan Dorairaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Dorairaj reassigns Medicare benefits to 3 organizations: Ehab Yacoub MD Inc. (Gardena, CA), Thrive Counseling LLC (Lynchburg, VA) and Gurusamy Inc. (Tamuning, GU). 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 Susan Dorairaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Dorairaj accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Susan Dorairaj as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Dorairaj was last updated on January 16, 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.