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MARIAM FAZEL
NPI 1073034799
Internal Medicine in West Hollywood, CA

Active since July 03, 2017PECOS EnrolledAccepts Medicare Assignment
87.67/100
CMS Quality Rating
8700 BEVERLY BLVD STE 5512, WEST HOLLYWOOD, CA 90048(310) 423-6325(310) 423-4683 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2022, Apr 28, 2022, Jul 3, 2017 (3 updates tracked since 2017).

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

NPI1073034799
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARIAM FAZEL
Location Address8700 BEVERLY BLVD STE 5512West Hollywood, CA 90048-1804
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Phone(310) 423-6325
Fax(310) 423-4683
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2019
Enumeration DateJuly 3, 2017
Last NPPES UpdateJuly 5, 20223 updates tracked since enumeration
NPPES CertifiedJuly 5, 2022
✔ NPI 1073034799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A178242
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8700 BEVERLY BLVD STE 5512, West Hollywood, CA 90048
Open in Google Maps ↗

Secondary Practice Location 1

Location 14610 X StreetSacramento, CA 95817 · Phone (916) 816-5141

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID1658752118
PECOS Enrollment IDI20220715000980
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

87.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.86
Promoting Interoperability99
Improvement Activities40
Cost49.42

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.

MATTHEW HERMOSURA BAUTISTA
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
LILY JAMNESHAN MD
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
DR. VAN NGO MD
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
ALEX BENJAMIN LEVINE MD
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
JOHANN CHRISTIAN PARK
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
KAREN TSUNG
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
AUSTIN GONZALEZ MD
Hospitalist
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
SALIM CHAMOUN
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161

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.

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.