Mamak Eatesam, M.D.
NPI 1407139314ActiveIndividual· Internal Medicine· Irvine, CA
Internal Medicine (M.D.) with San Pedro Hospitalist Medical Group Inc, practicing in Irvine, California. In 2024 Medicare paid $27,689 for 75 patients, and Part D covered 143 of their prescriptions, 87% of them generic. Lists Providence Little Co of Mary Med Ctr San Pedro and 1 other hospital as hospital affiliations.
Overview
| NPI | 1407139314 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 27, 2011 |
| Last updated in NPPES | Nov 16, 2024 |
| Certified by provider | Nov 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A157965 | CA |
| Internal Medicine | 207R00000X | 125.060479 | IL |
| Internal Medicine | 207R00000X | 01074579B | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 75 |
|---|---|
| Services billed | 344 across 7 procedure codes |
| Paid by Medicare | $27,689 |
Part D prescriptions in 2024
| Prescriptions (claims) | 143 · 143 30-day fills |
|---|---|
| Patients | 47 |
| Total drug cost | $14,538 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- San Pedro Hospitalist Medical Group IncSan Pedro, CA · 17 clinicians
Hospital affiliations
- Providence Little Co of Mary Med Ctr San PedroSan Pedro, CA
- Providence Little Company of Mary Med Ctr TorranceTorrance, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 207 internal medicine physicians in Irvine · All internal medicine physicians in California