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ELODI JOY DIELUBANZA M.D.
NPI 1750610804
Urology in Los Angeles, CA

Active since December 21, 2009PECOS EnrolledAccepts Medicare Assignment
1331 EASTLAKE AVE, LOS ANGELES, CA 90033(323) 865-3700 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2024, Apr 19, 2024, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Elodi Joy Dielubanza M.d. NPPES

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

ELODI JOY DIELUBANZA M.D. (NPI 1750610804) is an individual urology provider in Los Angeles, California, licensed in California (192851) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1750610804
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameELODI JOY DIELUBANZACredential: M.D.
Location Address1331 EASTLAKE AVELos Angeles, CA 90033
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (626) 457-6601
Phone(323) 865-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 21, 2009
Last NPPES UpdateJune 4, 20245 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
✔ NPI 1750610804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in CA · 192851✔ Licensed in MA · 270338✔ Licensed in IL · 125056858
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1331 EASTLAKE AVE, Los Angeles, CA 90033
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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

Elodi Joy Dielubanza 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 ID547531352
PECOS Enrollment IDI20240206003090
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 Elodi Dielubanza reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Usc Care Medical Group, Inc
0.1 mi
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
NPI 1902846306 (323) 442-5955
Ridgecrest Regional Hospital
111 mi
Rural Health
1041 N CHINA LAKE BLVD
Ridgecrest, CA 93555
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1164067971 (California)
  • 143 clinicians in this Medicare group
NPI 1639448400 (760) 446-0121
Brigham & Womens Physicians Organization Inc
2,592 mi
Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
NPI 1033535497 (617) 732-5500

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 13

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728
This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.
24 services24 patients
Insertion of device into abdomen with pressure and urine flow rate study 51797
This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.
23 services23 patients
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.
23 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers24 claims2,415 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
6 suppliers73 claims10,905 services$1.61 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers12 claims40 services$8.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Elodi Dielubanza's NPI number?

The NPI number for Elodi Dielubanza is 1750610804. It was assigned to this individual provider in the NPPES registry on December 21, 2009.

Where is Elodi Dielubanza located?

Elodi Dielubanza practices at 1331 Eastlake Ave, Los Angeles, CA 90033. The listed phone number is (323) 865-3700.

What is Elodi Dielubanza's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Elodi Dielubanza enrolled in Medicare?

Yes. Elodi Dielubanza 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 Elodi Dielubanza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elodi Dielubanza reassigns Medicare benefits to 3 organizations: Usc Care Medical Group, Inc (Los Angeles, CA), Ridgecrest Regional Hospital (Ridgecrest, CA) and Brigham & Womens Physicians Organization Inc (Boston, MA). 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 Elodi Dielubanza'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 Elodi Dielubanza was last updated on June 4, 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.