AJAY GURBANI
NPI 1841633575
Orthopaedic Surgery - Foot and Ankle Surgery in Santa Monica, CA

Active since April 11, 2013PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
1250 16TH ST STE 2100, SANTA MONICA, CA 90404(310) 319-1234(424) 259-6560 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ajay Gurbani NPPES

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

AJAY GURBANI (NPI 1841633575) is an individual foot and ankle surgery provider in Santa Monica, California, licensed in California (A136215) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of California, Geffen School Of Medicine (2013).

NPPES Registry Identity

NPI1841633575
Entity TypeIndividualMale
Primary Taxonomy207XX0004X
Provider Legal NameAJAY GURBANI
Location Address1250 16TH ST STE 2100Santa Monica, CA 90404
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Fax(424) 259-6560
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2013
Enumeration DateApril 11, 2013
Last NPPES UpdateOctober 14, 2019
NPI 1841633575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License Licensed in CA · A136215
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

1250 16TH ST STE 2100, Santa Monica, CA 90404

Secondary Practice Location 1

Location 110982 Roebling Ave, Apt 450Los Angeles, CA 90024-2753 · Phone (714) 404-2953

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

Ajay Gurbani 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 ID5597029041
PECOS Enrollment IDI20190814003097
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 6

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 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.
148 services92 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
142 services101 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
96 services58 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.
67 services67 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.
21 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.96
Promoting Interoperability100
Improvement Activities40
Cost57.6

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.

Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf L4387
DME-Orthotic Devices · category DF000N
2 suppliers17 claims17 services$129.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Orthopaedic Surgery
1250 16TH ST STE 2100
SANTA MONICA, CA 90404
Emergency Medicine
1250 16TH ST STE 2100
SANTA MONICA, CA 90404
Orthopaedic Surgery
1250 16TH ST STE 2100
SANTA MONICA, CA 90404
Student in an Organized Health Care Education/Training Program
1250 16TH ST STE 2100
SANTA MONICA, CA 90404
Nurse Practitioner
1250 16TH ST STE 2100
SANTA MONICA, CA 90404
Emergency Medicine
1250 16TH ST STE 2100
SANTA MONICA, CA 90404
Orthopaedic Surgery
1250 16TH ST STE 2100
SANTA MONICA, CA 90404
Nurse Practitioner (Acute Care)
1250 16TH ST STE 2100
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 Ajay Gurbani's NPI number?

The NPI number for Ajay Gurbani is 1841633575. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Ajay Gurbani located?

Ajay Gurbani practices at 1250 16th St Ste 2100, Santa Monica, CA 90404. The listed phone number is (310) 319-1234.

What is Ajay Gurbani's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Ajay Gurbani enrolled in Medicare?

Yes. Ajay Gurbani 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.

When was this NPI record last updated?

The NPPES record for Ajay Gurbani was last updated on October 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.