OMID BENJAMIN MEHDIZADEH
NPI 1770816464
Otolaryngology in Santa Monica, CA
About Omid Benjamin Mehdizadeh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMID BENJAMIN MEHDIZADEH (NPI 1770816464) is an individual otolaryngology provider in Santa Monica, California, licensed in California (150014) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
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
Omid Benjamin Mehdizadeh 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.
Medicare Billing Reassignment
Medicare enrollment records show Omid Mehdizadeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Monica, CA 90404
- Reassigned Medicare billing, California enrollment
- 461 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.
Areas of Expertise CMS Part B claims 17
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA MONICA, CA 90404
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 Omid Mehdizadeh's NPI number?
The NPI number for Omid Mehdizadeh is 1770816464. It was assigned to this individual provider in the NPPES registry on September 12, 2009.
Where is Omid Mehdizadeh located?
Omid Mehdizadeh practices at 2125 Arizona Ave, Santa Monica, CA 90404. The listed phone number is (310) 829-8701.
What is Omid Mehdizadeh's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Omid Mehdizadeh enrolled in Medicare?
Yes. Omid Mehdizadeh 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 Omid Mehdizadeh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Omid Mehdizadeh reassigns Medicare benefits to Providence Saint Johns Medical Foundation (Santa Monica, 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 Omid Mehdizadeh'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 Omid Mehdizadeh was last updated on May 16, 2022. 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.