Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Pouya Dastouri, MD

Individual provider Surgery Physician · NPI 1295974483

Dr. Pouya Dastouri, MD is a General Surgery in Metairie, Louisiana. Qualified in 2005, 21 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in District of Columbia.

Years since qualifying
21
Licensed in
DC
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4541 Hastings St
Metairie, LA 70006-2819
Phone: (617) 763-6116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD040725 (DC)

Record details

NPI number1295974483
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 11, 2009
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021
Mailing address4541 Hastings St, Metairie, LA 70006-2819

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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