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DR. ROYA GHAFOURI MD
NPI 1790943355
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Beverly Hills, CA

Active since May 29, 2008PECOS EnrolledAccepts Medicare Assignment
9735 WILSHIRE BLVD STE 421, BEVERLY HILLS, CA 90212(310) 990-0905(424) 204-1459 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Roya Ghafouri Md NPPES

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

DR. ROYA GHAFOURI MD (NPI 1790943355) is an individual ophthalmic plastic and reconstructive surgery provider in Beverly Hills, California, licensed in California (A115937) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1790943355
Entity TypeIndividualFemale
Primary Taxonomy207WX0200X
Provider Legal NameDR. ROYA GHAFOURICredential: MD
Location Address9735 WILSHIRE BLVD STE 421Beverly Hills, CA 90212-2113
Mailing Address9735 Wilshire Blvd Ste 421Beverly Hills, CA 90212-2113 · (310) 990-0905 · Fax (424) 204-1459
Phone(310) 990-0905
Fax(424) 204-1459
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 29, 2008
Last NPPES UpdateJanuary 20, 2020
✔ NPI 1790943355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in CA · A115937
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
9735 WILSHIRE BLVD STE 421, Beverly Hills, CA 90212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Roya Ghafouri Md 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 ID3870618176
PECOS Enrollment IDI20130820000834
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.

Areas of Expertise CMS Part B claims 12

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.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
161 services125 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
100 services20 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
61 services57 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Injection into skin growth, 1-7 growths 11900
This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.
23 services19 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.
17 services11 patients

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
$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.

Other Providers at the Same Location NPPES

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

ROYA H GHAFOURI MD INC
Ophthalmology
9735 WILSHIRE BLVD STE 421
BEVERLY HILLS, CA 90212
Los Angeles County (310) 990-0905

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 Roya Ghafouri's NPI number?

The NPI number for Roya Ghafouri is 1790943355. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Roya Ghafouri located?

Roya Ghafouri practices at 9735 Wilshire Blvd Ste 421, Beverly Hills, CA 90212. The listed phone number is (310) 990-0905.

What is Roya Ghafouri's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Roya Ghafouri enrolled in Medicare?

Yes. Roya Ghafouri 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.

What insurance does Roya Ghafouri accept?

Health plans from Providence Health Plan list Roya Ghafouri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roya Ghafouri was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.