DR. NISREEN SOUFI M.D
NPI 1790934800
Pediatrics - Pediatric Gastroenterology in Duarte, CA

Active since September 12, 2008PECOS EnrolledAccepts Medicare Assignment
1500 DUARTE RD, DUARTE, CA 91010(626) 256-4673 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nisreen Soufi M.d NPPES

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

DR. NISREEN SOUFI M.D (NPI 1790934800) is an individual pediatric gastroenterology provider in Duarte, California, licensed in California (A130466) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1790934800
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. NISREEN SOUFICredential: M.D
Location Address1500 DUARTE RDDuarte, CA 91010-3012
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 12, 2008
Last NPPES UpdateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
✔ NPI 1790934800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in CA · A130466
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 2008013221 (MO)
1500 DUARTE RD, Duarte, CA 91010

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

Dr. Nisreen Soufi 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 ID1658663133
PECOS Enrollment IDI20160630002224
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

2

Medicare enrollment records show Nisreen Soufi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
1500 DUARTE RD
Duarte, CA 91010
  • Reassigned Medicare billing, California enrollment
  • 1,335 clinicians in this Medicare group
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91010 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
$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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 DUARTE RD
DUARTE, CA 91010
Pharmacist
1500 DUARTE RD
DUARTE, CA 91010
Radiology (Diagnostic Radiology)
1500 DUARTE RD
DUARTE, CA 91010
Radiology (Radiation Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Surgery (Surgical Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Surgery
1500 DUARTE RD
DUARTE, CA 91010
Anesthesiology
1500 DUARTE RD
DUARTE, CA 91010
Pathology (Hematology)
1500 DUARTE RD
DUARTE, CA 91010

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 Nisreen Soufi's NPI number?

The NPI number for Nisreen Soufi is 1790934800. It was assigned to this individual provider in the NPPES registry on September 12, 2008.

Where is Nisreen Soufi located?

Nisreen Soufi practices at 1500 Duarte Rd, Duarte, CA 91010. The listed phone number is (626) 256-4673.

What is Nisreen Soufi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Nisreen Soufi enrolled in Medicare?

Yes. Nisreen Soufi 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 Nisreen Soufi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisreen Soufi reassigns Medicare benefits to 2 organizations: City Of Hope Medical Foundation (Duarte, CA) and Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). 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 Nisreen Soufi'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 Nisreen Soufi was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.