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DR. MICHAEL BROUKHIM M.D. NPI 1609064880


NPI Information

NPI: 1609064880
Provider Name: DR. MICHAEL BROUKHIM, M.D.
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Organization: PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
2001 SANTA MONICA BLVD STE 280W
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-7678
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DR. Michael Broukhim, M.D. is an interventional cardiology internal medicine in Santa Monica, CA with 18 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Michael Broukhim, M.D. NPI is 1609064880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

2001 SANTA MONICA BLVD STE 280W
SANTA MONICA, CA
ZIP 90404-172
Phone: (310) 829-7678
Fax: (310) 829-6889

The NPI 1609064880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Catheter insertion of stents in major coronary artery or branch, accessed through the skin (HCPCS:92928)

The enumeration date for this NPI number is 10/12/2007 and was last updated on 3/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineA101434CALIFORNIANo
2207RC0000XInternal MedicineCardiovascular DiseaseA101434CALIFORNIANo
3207RI0011XInternal MedicineInterventional CardiologyA101434CALIFORNIAYes
4261QM2500XClinic/CenterMedical SpecialtyA101434CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.