SINA SHAFIEI M.D
NPI 1891040697
Hospitalist in Santa Monica, CA

Active since July 17, 2012PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
1250 16TH ST # C2304, SANTA MONICA, CA 90404(310) 319-4698(310) 319-4908 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sina Shafiei M.d NPPES

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

SINA SHAFIEI M.D (NPI 1891040697) is an individual hospitalist provider in Santa Monica, California, licensed in California (A147629) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Thousand Oaks, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1891040697
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSINA SHAFIEICredential: M.D
Location Address1250 16TH ST # C2304Santa Monica, CA 90404-1249
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Fax(310) 319-4908
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 17, 2012
Last NPPES UpdateJuly 30, 2019
NPI 1891040697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A147629
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License A147629 (CA)
1250 16TH ST # C2304, Santa Monica, CA 90404

Secondary Practice Location 1

Location 1100 Moody Ct Ste 110Thousand Oaks, CA 91360-6076 · Phone (805) 418-3500 · Fax (805) 418-3505

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

Sina Shafiei 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 ID7012236805
PECOS Enrollment IDI20170913003273
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
728 services211 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.
205 services195 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
191 services179 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.
77 services77 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.
31 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services22 patients

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.

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.

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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

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
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Nurse Practitioner (Acute Care)
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Nurse Practitioner
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Internal Medicine
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Internal Medicine
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
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 Sina Shafiei's NPI number?

The NPI number for Sina Shafiei is 1891040697. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Sina Shafiei located?

Sina Shafiei practices at 1250 16th St # C2304, Santa Monica, CA 90404. The listed phone number is (310) 319-4698.

What is Sina Shafiei's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sina Shafiei enrolled in Medicare?

Yes. Sina Shafiei 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 Sina Shafiei was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.