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DR. BAHAREH POUYA DDS
NPI 1750269205
Dentist - Orofacial Pain in Los Angeles, CA

Active since August 23, 2025PECOS Enrolled
10833 LE CONTE AVE # CHS10157, LOS ANGELES, CA 90095(310) 794-1929(310) 206-5302 Get Directions Write a Review

NPPES record last updated: August 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Bahareh Pouya Dds NPPES

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

DR. BAHAREH POUYA DDS (NPI 1750269205) is an individual orofacial pain provider in Los Angeles, California, licensed in Texas (41820) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1750269205
Entity TypeIndividualFemale
Primary Taxonomy1223X2210X
Provider Legal NameDR. BAHAREH POUYACredential: DDS
Location Address10833 LE CONTE AVE # CHS10157Los Angeles, CA 90095-3075
Mailing Address10833 Le Conte Ave # Chs10157Los Angeles, CA 90095-3075 · (323) 645-0599 · Fax (310) 206-5302
Phone(310) 794-1929
Fax(310) 206-5302
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 23, 2025
NPPES CertifiedAugust 23, 2025
✔ NPI 1750269205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
License✔ Licensed in TX · 41820
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
10833 LE CONTE AVE # CHS10157, Los Angeles, CA 90095
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bahareh Pouya Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880183953
PECOS Enrollment IDI20251029001839
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 Reassignment

Medicare enrollment records show Bahareh Pouya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Johns Community Health
7.3 mi
Community Health
4251 CRENSHAW BLVD
Los Angeles, CA 90008
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: St. John's Community Health
  • 404 clinicians in this Medicare group
NPI 1417469495 (323) 541-1600

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 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
$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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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

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

DR. SHERWIN ARMAN D.M.D.
Dentist (Orofacial Pain)
10833 LE CONTE AVE # CHS10157
LOS ANGELES, CA 90095
Los Angeles County (310) 794-1929

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 Bahareh Pouya's NPI number?

The NPI number for Bahareh Pouya is 1750269205. It was assigned to this individual provider in the NPPES registry on August 23, 2025.

Where is Bahareh Pouya located?

Bahareh Pouya practices at 10833 Le Conte Ave # Chs10157, Los Angeles, CA 90095. The listed phone number is (310) 794-1929.

What is Bahareh Pouya's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Bahareh Pouya enrolled in Medicare?

Yes. Bahareh Pouya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bahareh Pouya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bahareh Pouya reassigns Medicare benefits to St. Johns Community Health (Los Angeles, CA). The 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 Bahareh Pouya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bahareh Pouya accept?

Health plans from Humana list Bahareh Pouya 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 Bahareh Pouya was last updated on August 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.