NPI registry status
Active
2026 NPPES data Specialist NPI 1114994274 MD
Verify on CMS → Soheil Niku, MD
Specialist in Simi Valley, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
6K
Medicare Part D claims · 1K beneficiaries · Specialist avg: 1K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.5/100
▲ 13 pts above national avg 83.1 · Exceptional
Industry payments
$19.56
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Soheil Niku, MD reported a CMS MIPS final score of 96.5/100 - above the 83.1 national average - and filed 5,923 Medicare Part D claims in 2023.
- 96.5/100
- MIPS score · +13 vs avg
- 6K
- Part D claims, 2023
- 92%
- generic prescribing
- $19.56
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Soheil Niku, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
97 Top 17% higher than 83% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Soheil Niku, MD sits
This provider among specialist peers
Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Soheil Niku, MD writes more Part D claims than 92% of them and scores higher on MIPS quality than 83% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one specialist peer from a representative sample of 60; the gold marker is Soheil Niku, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Soheil Niku, MD?
High performer (top quartile)Primary specialty
Specialist
Medicare Part D claims
5,923 302% vs specialty avg
MIPS final score
96.5/100 13.4 pts vs avg
Specialty distribution in California
How Specialist compares to other specialties among California providers
Medicare quality performance, MIPS
Soheil Niku, MD's 2023 MIPS final score plotted against the Specialist national average
- MIPS Final Score
- 96.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Specialist) - 96.5/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Soheil Niku, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 2925 SYCAMORE DR, Simi Valley, CA, 93065, with a listed phone of (805) 583-0944. NPI 1114994274 was issued on 03/07/2006.
Medicare Part D records for calendar year 2023 show 5,923 prescription claims written by this provider, covering 1,344 Medicare beneficiaries and totaling roughly $538K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 1.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.5/100 for the 2023 performance year (Quality 89.3), compared with the national average of 83.1.
Specialist is a high-volume specialty nationwide, with 69,608 enrolled providers across 55 states and an average of 1,474 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1114994274 |
|---|---|
| Specialty | Specialist |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/07/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
96.4982
Final Score
Avg: 83.1
89.3453
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Soheil Niku, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Simi-San Fernando Valley Urology Associates
Mission Hills, CA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Soheil Niku, MD. Source: openpaymentsdata.cms.gov.
Total received
$20
Largest payer
ABBVIE INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - California MBC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Soheil Niku, MD. To verify Soheil Niku, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Soheil Niku, MD - brand share 8.0%
Specialist average
8% brand-name claims vs 92% generic, on 5,923 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
5,923
Total Claims
$538K
Total Drug Cost
1,344
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 12,518
- Total Day Supply
- 346,420
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $377K
- Generic Drug Cost
- $161K
- Opioid Claims
- 72 (1.2% rate)
- Antibiotic Claims
- 1,011
Patient Demographics
- Average Patient Age
- 75.3 years
- Avg HCC Risk Score
- 1.44
- Gender Split
- 23% female / 77% male
- Age Distribution
- <65: 60, 65-74: 614, 75-84: 478, 85+: 192
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Soheil Niku, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tamsulosin Hcl
Tamsulosin Hcl
1,962 claims
- Finasteride
Finasteride
1,050 claims
- Ciprofloxacin Hcl 623
Ciprofloxacin Hcl
623 claims
- Myrbetriq 325
Myrbetriq
325 claims
- Methenamine Hippur… 297
Methenamine Hippurate
297 claims
- Oxybutynin Chlorid… 265
Oxybutynin Chloride Er
265 claims
- Alfuzosin Hcl Er 235
Alfuzosin Hcl Er
235 claims
- Cephalexin 214
Cephalexin
214 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 1,962 |
| Finasteride | 1,050 |
| Ciprofloxacin Hcl | 623 |
| Myrbetriq Mirabegron | 325 |
| Methenamine Hippurate | 297 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 265 |
| Alfuzosin Hcl Er Alfuzosin Hcl | 235 |
| Cephalexin | 214 |
| Solifenacin Succinate | 159 |
| Sildenafil Citrate | 80 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Specialist Overview
How Soheil Niku, MD fits within the Specialist landscape nationally.
69,608
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider
Soheil Niku, MD's 5,923 claims are above the specialty average of 1,474.
Nearby Specialist Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Niku.
Adrienne Abad Santos
San Francisco, CA
Dr. Brenda Abarca
MD
Torrance, CA
Dr. Fatemeh Abbasi
PT
Van Nuys, CA
Dr. Erlinda Abcede
M.D.
Cudahy, CA
Dr. Maher Abdallah
M.D.
Palm Springs, CA
Compare Specialist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Specialist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Soheil Niku, MD's specialty? ▼
Soheil Niku, MD specializes in Specialist and practices in Simi Valley, California. Credentials: MD.
How much does Soheil Niku, MD prescribe under Medicare Part D? ▼
In 2023, Soheil Niku, MD wrote 5,923 Medicare Part D claims totaling $538K in drug costs for 1,344 beneficiaries.
What is Soheil Niku, MD's Medicare quality score? ▼
Soheil Niku, MD has a CMS MIPS Final Score of 96.5/100 (Quality: 89.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Soheil Niku, MD located? ▼
Soheil Niku, MD is located at 2925 SYCAMORE DR, Simi Valley, CA, 93065. Phone: (805) 583-0944.
What is Soheil Niku, MD's NPI number? ▼
Soheil Niku, MD's National Provider Identifier (NPI) is 1114994274, issued on 03/07/2006.
Does Soheil Niku, MD prescribe more brand-name or generic drugs? ▼
Soheil Niku, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $377K in brand drug costs.
Does Soheil Niku, MD prescribe opioids? ▼
Yes, Soheil Niku, MD had 72 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
How many Specialist providers are there in the US? ▼
There are 69,608 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Soheil Niku, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Soheil Niku, MD's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Soheil Niku, MD accept Medicare? ▼
Soheil Niku, MD appears in CMS Medicare data with 5,923 Part D claims and 1,344 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Soheil Niku, MD's credentials? ▼
Soheil Niku, MD's NPI is 1114994274 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.