PUJA SHAHROUKI MD
NPI 1790276079
Radiology - Diagnostic Radiology in Thousand Oaks, CA
About Puja Shahrouki Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PUJA SHAHROUKI MD (NPI 1790276079) is an individual diagnostic radiology provider in Thousand Oaks, California, licensed in California (A173721) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Framingham.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Puja Shahrouki Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Puja Shahrouki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 554 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
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 91360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
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 Puja Shahrouki's NPI number?
The NPI number for Puja Shahrouki is 1790276079. It was assigned to this individual provider in the NPPES registry on May 23, 2018.
Where is Puja Shahrouki located?
Puja Shahrouki practices at 100 Moody Ct Ste 200, Thousand Oaks, CA 91360. The listed phone number is (310) 301-6800.
What is Puja Shahrouki's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Puja Shahrouki enrolled in Medicare?
Yes. Puja Shahrouki is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Puja Shahrouki's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Puja Shahrouki reassigns Medicare benefits to Martin Luther King Jr Community Medical Foundation (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 Puja Shahrouki'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 Puja Shahrouki was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Puja Shahrouki, MD · NPI 1790276079
Diagnostic Radiology physician in Thousand Oaks, California. Individual provider, active in the CMS NPPES registry since May 23, 2018.
## Identity
- **NPI:** 1790276079 (Entity type: Individual)
- **Enumerated:** May 23, 2018
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** A173721 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MOODY CT STE 200, Thousand Oaks, CA 91360-6082
- **Phone:** (310) 301-6800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Martin Luther King Jr Community Medical Foundation (NPI 1356899777, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790276079) · Data from the CMS NPPES public registry.