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GUS KALIOUNDJI M.D.
NPI 1750500609
Family Medicine in Beverly Hills, CA

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment
133 S OAKHURST DR, #303, BEVERLY HILLS, CA 90212(310) 278-0530(818) 887-4222 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gus Kalioundji M.d. NPPES

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

GUS KALIOUNDJI M.D. (NPI 1750500609) is an individual family medicine provider in Beverly Hills, California, licensed in California (A89365) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1750500609
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGUS KALIOUNDJICredential: M.D.
Location Address133 S OAKHURST DR, #303Beverly Hills, CA 90212-3518
Mailing Address133 S Oakhurst Dr, #303Beverly Hills, CA 90212-3518 · (310) 278-0530 · Fax (818) 887-4222
Phone(310) 278-0530
Fax(818) 887-4222
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateApril 25, 2007
Last NPPES UpdateDecember 7, 2021
NPPES CertifiedDecember 7, 2021
✔ NPI 1750500609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A89365
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License A89365 (CA)
133 S OAKHURST DR, Beverly Hills, CA 90212
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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

Gus Kalioundji 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 ID9234254731
PECOS Enrollment IDI20100920001147
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 Gus Kalioundji reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2.1 mi
Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242563 (323) 857-2000

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 90212 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.

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 Gus Kalioundji's NPI number?

The NPI number for Gus Kalioundji is 1750500609. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Gus Kalioundji located?

Gus Kalioundji practices at 133 S Oakhurst Dr #303, Beverly Hills, CA 90212. The listed phone number is (310) 278-0530.

What is Gus Kalioundji's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gus Kalioundji enrolled in Medicare?

Yes. Gus Kalioundji 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 organization bills Medicare for Gus Kalioundji's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gus Kalioundji reassigns Medicare benefits to Southern California Permanente Medical Group (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 Gus Kalioundji'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 Gus Kalioundji was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.