POYSOPHON POYSOPHON
NPI 1902250194
Internal Medicine in Walnut Creek, CA
About Poysophon Poysophon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POYSOPHON POYSOPHON (NPI 1902250194) is an individual internal medicine provider in Walnut Creek, California, licensed in California (A150669) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Poysophon Poysophon 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.
Medicare Billing Reassignment
Medicare enrollment records show Poysophon Poysophon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 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 94596 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WALNUT CREEK, CA 94596
WALNUT CREEK, CA 94596
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 Poysophon Poysophon's NPI number?
The NPI number for Poysophon Poysophon is 1902250194. It was assigned to this individual provider in the NPPES registry on April 14, 2016.
Where is Poysophon Poysophon located?
Poysophon Poysophon practices at 1425 S Main St, Walnut Creek, CA 94596. The listed phone number is (925) 295-4000.
What is Poysophon Poysophon's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Poysophon Poysophon enrolled in Medicare?
Yes. Poysophon Poysophon 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 organization bills Medicare for Poysophon Poysophon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Poysophon Poysophon reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Poysophon Poysophon'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 Poysophon Poysophon was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Poysophon Poysophon · NPI 1902250194
Internal Medicine physician in Walnut Creek, California. Individual provider, active in the CMS NPPES registry since April 14, 2016.
## Identity
- **NPI:** 1902250194 (Entity type: Individual)
- **Enumerated:** April 14, 2016
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A150669 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1425 S MAIN ST, Walnut Creek, CA 94596-5318
- **Phone:** (925) 295-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 31, 2022
- **Other identifiers:** Medicaid PP3232267556 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1902250194) · Data from the CMS NPPES public registry.