DR. MAZIAR GHODSIAN D.O.
NPI 1063622181
Colon & Rectal Surgery in Beverly Hills, CA

Active since May 24, 2007Opted out of Medicare · through Dec 16, 2027
300 S BEVERLY DR, SUITE 105, BEVERLY HILLS, CA 90212(800) 280-6384(949) 666-6555 Get Directions Write a Review

NPPES record last updated: September 3, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Maziar Ghodsian D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAZIAR GHODSIAN D.O. (NPI 1063622181) is an individual colon & rectal surgery provider in Beverly Hills, California, licensed in California (20A9722) and active in the NPI registry since May 2007. He has opted out of Medicare through December 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063622181
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. MAZIAR GHODSIANCredential: D.O.
Location Address300 S BEVERLY DR, SUITE 105Beverly Hills, CA 90212-4808
Mailing Address300 S Beverly Dr, Suite 105Beverly Hills, CA 90212-4808 · (800) 280-6384 · Fax (949) 666-6555
Fax(949) 666-6555
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateSeptember 3, 2015
NPI 1063622181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in CA · 20A9722
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
300 S BEVERLY DR, Beverly Hills, CA 90212

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Maziar Ghodsian D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 16, 2019 through December 16, 2027.

Opt-Out Effective DateDecember 16, 2019
Opt-Out In Effect ThroughDecember 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
300 S BEVERLY DR, 400
BEVERLY HILLS, CA 90212
Colon & Rectal Surgery
300 S BEVERLY DR, SUITE 105
BEVERLY HILLS, CA 90212
Pharmacy (Community/Retail Pharmacy)
300 S BEVERLY DR, STE 100
BEVERLY HILLS, CA 90212
Social Worker (Clinical)
300 S BEVERLY DR, STE 212
BEVERLY HILLS, CA 90212
Marriage & Family Therapist
300 S BEVERLY DR, STE 212
BEVERLY HILLS, CA 90212
Psychologist (Clinical)
300 S BEVERLY DR
BEVERLY HILLS, CA 90212
Internal Medicine
300 S BEVERLY DR, SUITE #108
BEVERLY HILLS, CA 90212
Marriage & Family Therapist
300 S BEVERLY DR, SUITE 412
BEVERLY HILLS, CA 90212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maziar Ghodsian's NPI number?

The NPI number for Maziar Ghodsian is 1063622181. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Maziar Ghodsian located?

Maziar Ghodsian practices at 300 S Beverly Dr Suite 105, Beverly Hills, CA 90212. The listed phone number is (800) 280-6384.

What is Maziar Ghodsian's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Maziar Ghodsian enrolled in Medicare?

No. Maziar Ghodsian has opted out of Medicare through December 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Maziar Ghodsian was last updated on September 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.