DR. ANDREW M POURMOUSSA M.D.
NPI 1992149504
Internal Medicine in Mission Hills, CA

Q: What is Andrew Pourmoussa's NPI number?

The NPI number for Andrew Pourmoussa is 1992149504. It was assigned to this individual provider in the NPPES registry on April 25, 2013.

Q: What is Andrew Pourmoussa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Pourmoussa was last updated on December 3, 2021. 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.

Active since April 25, 2013PECOS EnrolledAccepts Medicare Assignment

11165 SEPULVEDA BLVD, MISSION HILLS, CA 91345(818) 365-9351 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2021, Oct 27, 2020, Aug 22, 2016 (3 updates tracked since 2016).

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About Dr. Andrew M Pourmoussa M.d. NPPES

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

DR. ANDREW M POURMOUSSA M.D. (NPI 1992149504) is an individual internal medicine provider in Mission Hills, California, licensed in California (A138261) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1992149504

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ANDREW M POURMOUSSACredential: M.D.

Location Address11165 SEPULVEDA BLVDMission Hills, CA 91345-1113

Mailing Address393 E Walnut StPasadena, CA 91188-0001 · (818) 837-5559 · Fax (818) 792-4793

Phone(818) 365-9351

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 25, 2013

Last NPPES UpdateDecember 3, 20213 updates tracked since enumeration

NPPES CertifiedOctober 27, 2020

✔ NPI 1992149504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A138261

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

11165 SEPULVEDA BLVD, Mission Hills, CA 91345

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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. Andrew M Pourmoussa 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 ID8426352576

PECOS Enrollment IDI20160419001575

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91345 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.

NINA GANLEY R.D.

Dietitian, Registered