Pouya Shafipour, MD
NPI 1952426454 · Family Medicine Physician · Santa Monica, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pouya Shafipour, MD is a Family Medicine Physician provider in Santa Monica, CA (NPI 1952426454).
Provider details
- NPI number
- 1952426454
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A89513 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,223 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 531 | $139 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 493 | $9 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 237 | $99 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 180 | $17 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 156 | $195 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 84 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 260 | 74 |
| Atorvastatin Calcium | 224 | 65 |
| Amlodipine Besylate | 188 | 55 |
| Levothyroxine Sodium | 184 | 49 |
| Metformin Hcl | 162 | 57 |
| Semaglutidebrand: Ozempic | 97 | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$210 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2021-04-19
- Certified
- 2021-04-19
Frequently asked questions
- What is Pouya Shafipour's NPI number?
- Pouya Shafipour's National Provider Identifier (NPI) is 1952426454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pouya Shafipour's specialty?
- Pouya Shafipour is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pouya Shafipour located?
- Pouya Shafipour's practice location on file with NPPES is 1831 Wilshire Blvd Ste B, Santa Monica, CA 90403-5778.
- What is Pouya Shafipour's phone number?
- The practice phone number listed in the NPPES registry for Pouya Shafipour is (310) 400-5565.
- Does Pouya Shafipour accept Medicare?
- Pouya Shafipour is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pouya Shafipour's NPI active?
- Yes — Pouya Shafipour's NPI (1952426454) is active in the NPPES registry as of the last update on 2021-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.