1. Home
  2. Directory
  3. California
  4. Upland
  5. Surgery
  6. NPI Profile

NABIL KOUDSI MD
NPI 1750411070
Surgery in Upland, CA

Active since March 06, 2007PECOS Enrolled
811 EAST 11TH ST, #207, UPLAND, CA 91786(909) 981-3411(909) 946-7740 Get Directions Write a Review

NPPES record last updated: July 22, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nabil Koudsi Md NPPES

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

NABIL KOUDSI MD (NPI 1750411070) is an individual surgery provider in Upland, California, licensed in California (A33797) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750411070
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameNABIL KOUDSICredential: MD
Location Address811 EAST 11TH ST, #207Upland, CA 91786-4872
Mailing Address811 East 11th St, #207Upland, CA 91786-4872 · (909) 981-3411 · Fax (909) 946-7740
Phone(909) 981-3411
Fax(909) 946-7740
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 22, 2010
✔ NPI 1750411070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A33797
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
811 EAST 11TH ST, Upland, CA 91786
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINA27256
Medicare ID-Type Unspecified00A337970CA
Medicaid00A337970CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nabil Koudsi 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.

Medicare Billing Reassignment

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

Synergy Ct Surgery Partnership
0.3 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
901 SAN BERNARDINO RD, STE102
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
  • 20 clinicians in this Medicare group
NPI 1366711236 (909) 579-6721

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 91786 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 Nabil Koudsi's NPI number?

The NPI number for Nabil Koudsi is 1750411070. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Nabil Koudsi located?

Nabil Koudsi practices at 811 East 11th St #207, Upland, CA 91786. The listed phone number is (909) 981-3411.

What is Nabil Koudsi's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nabil Koudsi enrolled in Medicare?

Yes. Nabil Koudsi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nabil Koudsi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nabil Koudsi reassigns Medicare benefits to Synergy Ct Surgery Partnership (Upland, 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 Nabil Koudsi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nabil Koudsi was last updated on July 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.