PROF. BIJAN ETEMAD M.D.
NPI 1124253067
Psychiatry & Neurology - Geriatric Psychiatry in Villanova, PA

Active since May 21, 2009Opted out of Medicare · through Jan 21, 2028
15 WISTAR RD, VILLANOVA, PA 19085(215) 898-4301(215) 898-0509 Get Directions Write a Review

NPPES record last updated: May 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prof. Bijan Etemad M.d. NPPES

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

PROF. BIJAN ETEMAD M.D. (NPI 1124253067) is an individual geriatric psychiatry provider in Villanova, Pennsylvania, licensed in Pennsylvania (MD32639L) and active in the NPI registry since May 2009. He has opted out of Medicare through January 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124253067
Entity TypeIndividualMale
Primary Taxonomy2084P0805X
Provider Legal NamePROF. BIJAN ETEMADCredential: M.D.
Location Address15 WISTAR RDVillanova, PA 19085-1512
Mailing Address15 Wistar RdVillanova, PA 19085-1512 · (215) 898-4301 · Fax (215) 898-0509
Fax(215) 898-0509
Sole ProprietorYes
Enumeration DateMay 21, 2009
NPI 1124253067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License Licensed in PA · MD32639L
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
15 WISTAR RD, Villanova, PA 19085

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Prof. Bijan Etemad M.d. 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 January 21, 2020 through January 21, 2028.

Opt-Out Effective DateJanuary 21, 2020
Opt-Out In Effect ThroughJanuary 21, 2028Opt-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 19085 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES

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

Pediatrics
15 WISTAR RD
VILLANOVA, PA 19085

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 Bijan Etemad's NPI number?

The NPI number for Bijan Etemad is 1124253067. It was assigned to this individual provider in the NPPES registry on May 21, 2009.

Where is Bijan Etemad located?

Bijan Etemad practices at 15 Wistar Rd, Villanova, PA 19085. The listed phone number is (215) 898-4301.

What is Bijan Etemad's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Bijan Etemad enrolled in Medicare?

No. Bijan Etemad has opted out of Medicare through January 21, 2028. 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 Bijan Etemad was last updated on May 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.