Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Eaman Balouch , MD PHD

General Practice โ€ข El Segundo, CA

Active NPI 1265884498 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

222 N Pacific Coast Hwy Ste 1420
El Segundo, CA 902455648

Call 3105241305 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

222 N Pacific Coast Hwy Ste 1420

El Segundo, CA 902455648

Telephone 3105241305
Organization at the Same NPPES Address or Phone
Advantage Surgical And Wound Care Texas Pa Facility NPI 1023778420

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Sacramento, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Robert Marriott Medical Corp. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of California, Davis School Of Medicine

Graduation Year

2018

Medicare patients

239 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $361,043 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $283,867 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

25 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$4,548 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2023.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $20.86 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Balouch has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Balouch as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in El Segundo and California

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under General Practice in California (2024, 409 clinicians with data). Median for this group: 485. Middle half: 154 to 2,019.

Too few clinicians listed under General Practice in El Segundo have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under General Practice in California (2024, 409 clinicians with data). Median for this group: $45,658. Middle half: $15,010 to $165,277.

Too few clinicians listed under General Practice in El Segundo have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under General Practice in California (2024, 409 clinicians with data). Median for this group: $32,130. Middle half: $11,436 to $131,972.

Too few clinicians listed under General Practice in El Segundo have Medicare Part B data for 2024 to compare.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Balouch are from 2023.

2 active clinicians are listed under General Practice with a practice address in El Segundo, CA (1,963 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $20.86.

Manufacturer Payment Nature Product Type Amount ($)
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
COLLAGENASE SANTYL General $20.86

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2021โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
697 148 $170.00 $78.49
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less
394 17 $127.00 $55.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
330 80 $170.00 $77.49
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
263 32 $300.00 $236.97
11042 Removal of skin and tissue, 20.0 sq cm or less
246 37 $200.00 $90.18
11045 Removal of skin and tissue, each additional 20.0 sq cm or less
242 15 $60.00 $25.48
29581 Application of vein wound compression bandages on lower leg, ankle, and foot
217 19 $175.00 $117.47
17250 Application of chemical to stop tissue regrowth in wound
199 48 $171.00 $67.02
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
158 36 $300.00 $142.40
11042 Removal of skin and tissue, 20.0 sq cm or less
153 45 $200.00 $48.60
11044 Removal of bone, 20.0 sq cm or less
109 18 $528.00 $230.84
11044 Removal of bone, 20.0 sq cm or less
101 15 $528.00 $332.89
17250 Application of chemical to stop tissue regrowth in wound
99 27 $171.00 $26.91
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less
84 13 $127.00 $76.93
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
57 57 $189.00 $83.76
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast
32 18 $1355.00 $674.42
29581 Application of vein wound compression bandages on lower leg, ankle, and foot
21 13 $175.00 $28.96
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
18 18 $189.00 $83.22
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
13 11 $190.00 $113.70
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
12 12 $282.00 $139.82

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D ยท Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Glipizide Glipizide 13 182 $59.71 โ€”
Santyl Collagenase Clostridium Hist. 12 240 $4,487.99 โ€”

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-01
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES CA A167007

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL PRACTICE

Medicare Enrollment ID

I20210811003362

Enrollment State Jurisdiction

CA

PECOS Control ID

9234533324

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Robert Marriott Medical Corp

120 Bellefontaine St, Pasadena, CA 911053102

Phone: 6267935114

Robert Marriott Medical Corp

150 Bellefontaine St, Pasadena, CA 911053102

Phone: 6267931103

Robert Marriott Medical Corp

222 N Pacific Coast Hwy, El Segundo, CA 902455648

Phone: 8778783289

Robert Marriott Medical Corp

19191 Harvard Ave, Irvine, CA 926124670

Phone: 9498549500

Secondary Practice Locations

5670 Elvas Ave

Sacramento, CA 958193309

Phone: 3104983779

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Kayla Hopkins , APRN

Nurse Practitioner

NPI 1598460032

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐Ÿ“
Updated Practice Location August 01, 2021

Registered at 222 N PACIFIC COAST HWY STE 1420, EL SEGUNDO, CA 902455648 (Tel: 3105241305)

๐Ÿ“
Updated Business Mailing Address August 01, 2021

Registered at 222 N PACIFIC COAST HWY STE 1420, EL SEGUNDO, CA 902455648 (Tel: 3105241305)

๐Ÿ‘ค
Provider Name / Credentials Updated August 01, 2021

Recorded as EAMAN BALOUCH, MD PHD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2021

General Practice (license number reported to NPPES: CA A167007)

โœ…
NPI Profile Active July 12, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 12, 2016

Registered at 5670 ELVAS AVE, SACRAMENTO, CA 958193309 (Tel: 3104983779)

๐Ÿ“
Business Mailing Address (Initial Record) July 12, 2016

Registered at 5670 ELVAS AVE, SACRAMENTO, CA 958193309

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 12, 2016

Recorded as EAMAN BALOUCH

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2016

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration July 12, 2016

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1265884498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2016
Last Update: March 07, 2023
Sole Proprietor: Yes

Mailing Address

222 N Pacific Coast Hwy Ste 1420

El Segundo, CA 902455648

Phone: 3105241305

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.