Dr Ian M Matsuura, MD - Medicare Radiology in Santa Monica, CA

Dr Ian M Matsuura, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Santa Monica, California. His current practice location is 207 Palisades Ave, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (952) 595-1100.

Dr Ian M Matsuura is licensed to practice in California (license number G84323) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447200266.

Contact Information

Dr Ian M Matsuura, MD
207 Palisades Ave,
Santa Monica, CA 90402-2733
(952) 595-1100
(614) 294-4903

Map and Direction




Physician's Profile

Full NameDr Ian M Matsuura
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location207 Palisades Ave, Santa Monica, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447200266
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 11/12/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8325012206
  • Enrollment ID: I20041217000567

Medical Identifiers

Medical identifiers for Dr Ian M Matsuura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447200266NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology ME85147 (Florida)Secondary
2085R0202XRadiology - Diagnostic Radiology G84323 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ian M Matsuura allows following entities to bill medicare on his behalf.
Entity NameTorrance Radiology Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457394264
PECOS PAC ID: 5496764755
Enrollment ID: O20060413000544

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ian M Matsuura is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ian M Matsuura, MD
11995 Singletree Ln, Suite 500,
Eden Prairie, MN 55344-5347

Ph: (952) 595-1301
Dr Ian M Matsuura, MD
207 Palisades Ave,
Santa Monica, CA 90402-2733

Ph: (952) 595-1100

Reviews and Comments


Radiology Doctors in Santa Monica, CA

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Phone: 310-829-9788    Fax: 310-453-1576

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.