MARIAM FAZEL
NPI 1073034799
Internal Medicine in West Hollywood, CA
About Mariam Fazel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAM FAZEL (NPI 1073034799) is an individual internal medicine provider in West Hollywood, California, licensed in California (A178242) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of University Of California, Davis School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mariam Fazel is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Mariam Fazel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 2,118 clinicians in this Medicare group
West Hollywood, CA 90048
- Reassigned Medicare billing, California enrollment
- 175 clinicians in this Medicare group
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 1,216 clinicians in this Medicare group
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
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 Mariam Fazel's NPI number?
The NPI number for Mariam Fazel is 1073034799. It was assigned to this individual provider in the NPPES registry on July 3, 2017.
Where is Mariam Fazel located?
Mariam Fazel practices at 8700 Beverly Blvd Ste 5512, West Hollywood, CA 90048. The listed phone number is (310) 423-6325.
What is Mariam Fazel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mariam Fazel enrolled in Medicare?
Yes. Mariam Fazel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mariam Fazel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Fazel reassigns Medicare benefits to 4 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA), Kansal Inc (West Hollywood, CA), Inpatient Specialists Of California, PC (San Bernardino, CA) and Permanente Medical Group Inc (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariam Fazel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mariam Fazel was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mariam Fazel · NPI 1073034799
Internal Medicine physician in West Hollywood, California. Individual provider, active in the CMS NPPES registry since July 3, 2017.
## Identity
- **NPI:** 1073034799 (Entity type: Individual)
- **Enumerated:** July 3, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A178242 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8700 BEVERLY BLVD STE 5512, West Hollywood, CA 90048-1804
- **Phone:** (310) 423-6325 · **Fax:** (310) 423-4683
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Cedars-Sinai Medical Care Foundation (NPI 1043826720, Los Angeles, CA); Kansal Inc (NPI 1043510183, West Hollywood, CA); Inpatient Specialists Of California, PC (NPI 1952792475, San Bernardino, CA); Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Davis School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** July 5, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1073034799) · Data from the CMS NPPES public registry.