Soudabeh Fazeli, M.D.
NPI 1639553613 · Diagnostic Radiology Physician · San Diego, CA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Soudabeh Fazeli, M.D. is a Diagnostic Radiology Physician provider in San Diego, CA (NPI 1639553613).
Provider details
- NPI number
- 1639553613
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A161036 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,953 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Screening Mammography77067 | 604 | $37 |
| Screening 3d Breast Mammography77063 | 602 | $29 |
| Screening 3d Breast Mammography77063 | 475 | $51 |
| Screening Mammography77067 | 475 | $120 |
| Diagnostic Digital Breast Tomosynthesis, Unilateral Or Bilateral (list Separately in Addition to 77065 Or 77066)G0279 | 234 | $29 |
| Diagnostic Mammography of Both Breasts77066 | 189 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-07-19
- Last updated
- 2022-07-28
- Certified
- 2022-07-28
Frequently asked questions
- What is Soudabeh Fazeli's NPI number?
- Soudabeh Fazeli's National Provider Identifier (NPI) is 1639553613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Soudabeh Fazeli's specialty?
- Soudabeh Fazeli is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Soudabeh Fazeli located?
- Soudabeh Fazeli's practice location on file with NPPES is 200 W Arbor Dr, San Diego, CA 92103-9000.
- What is Soudabeh Fazeli's phone number?
- The practice phone number listed in the NPPES registry for Soudabeh Fazeli is (800) 926-8273.
- Does Soudabeh Fazeli accept Medicare?
- Soudabeh Fazeli is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Soudabeh Fazeli's NPI active?
- Yes — Soudabeh Fazeli's NPI (1639553613) is active in the NPPES registry as of the last update on 2022-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.