Active NPI 1750411070 Individual Practitioner Male Practitioner

Dr. Nabil Koudsi , MD

Surgery • Upland, CA

Professional Overview & Biography Verified Profile Summary

Dr. Nabil Koudsi, MD is a registered healthcare professional specializing in Surgery in Upland, CA. Practice services are available at 811 EAST 11TH ST under active NPI credentials.

Frequently performed procedures and clinical services include harvest of veins for coronary artery bypass procedure using an endoscope, coronary artery bypass using artery graft, 1 graft, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

811 East 11th St
#207

Upland, CA 917864872

Telephone 9099813411

Fax 9099467740

Associated Practice Facility / Clinic

🏢 Nabil Koudsi Md Inc Facility NPI 1881851574

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Upland, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.0 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

9 Specialists

Practicing in Upland, CA (3346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

95.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	23	23	$435.87	$2.76
33533 Coronary artery bypass using artery graft, 1 graft	20	20	$6200.00	$298.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	16	$250.00	$109.34
33533 Coronary artery bypass using artery graft, 1 graft	21	21	$1219.33	$288.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$400.00	$164.58
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	14	14	$58.00	$2.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$400.00	$160.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	23	$480.00	$195.25
33533 Coronary artery bypass using artery graft, 1 graft	13	13	$1146.00	$263.15
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	13	13	$14.00	$2.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$400.00	$157.93
33533 Coronary artery bypass using artery graft, 1 graft	19	19	$962.57	$229.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$480.00	$192.88

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A33797

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00A337970 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 22, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 22, 2010

Registered at 811 EAST 11TH ST, #207, UPLAND, CA 917864872 (Tel: 9099813411)

📍

Updated Business Mailing Address July 22, 2010

Registered at 811 EAST 11TH ST, #207, UPLAND, CA 917864872 (Tel: 9099813411)

👤

Provider Name / Credentials Updated July 22, 2010

Recorded as NABIL KOUDSI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2010

Surgery (License #A33797 in CA)

🟢

Initial NPI Registration & Enumeration March 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Nabil Koudsi. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1750411070

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 06, 2007

Last Update: July 22, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

811 East 11th St, #207

Upland, CA 917864872

Phone: 9099813411

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.