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DR. MARYAM HASSANPOUR D.O.
NPI 1154742831
Internal Medicine in San Jose, CA

Active since December 23, 2013PECOS EnrolledAccepts Medicare Assignment
2670 S WHITE RD STE 160, SAN JOSE, CA 95148(408) 826-7679 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2025, Dec 13, 2019 (2 updates tracked since 2019).

About Dr. Maryam Hassanpour D.o. NPPES

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

DR. MARYAM HASSANPOUR D.O. (NPI 1154742831) is an individual internal medicine provider in San Jose, California, licensed in California (20A6615) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (1993).

NPPES Registry Identity

NPI1154742831
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARYAM HASSANPOURCredential: D.O.
Location Address2670 S WHITE RD STE 160San Jose, CA 95148-2083
Mailing Address2670 S White Rd Ste 160San Jose, CA 95148-2083 · (408) 826-7679
Phone(408) 826-7679
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1993
Enumeration DateDecember 23, 2013
Last NPPES UpdateJune 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1154742831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 20A6615
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.
2670 S WHITE RD STE 160, San Jose, CA 95148
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Secondary Practice Locations 3

Location 11642 E Capitol ExpySan Jose, CA 95121-1800 · Phone (408) 445-3431
Location 21333 Meridian AveSan Jose, CA 95125-5212 · Phone (408) 445-3400
Location 3455 OConnor DrSan Jose, CA 95128-1633 · Phone (408) 283-7676

Other Identifiers 1

Other20A6615CA · State License Number

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

Dr. Maryam Hassanpour D.o. 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 ID7618196999
PECOS Enrollment IDI20140918001489
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 95148 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

Other Providers at the Same Location NPPES

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

MRS. FLORINDA BERGLUND
Massage Therapist
2670 S WHITE RD STE 160
SAN JOSE, CA 95148
Santa Clara County (408) 270-8795

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 Maryam Hassanpour's NPI number?

The NPI number for Maryam Hassanpour is 1154742831. It was assigned to this individual provider in the NPPES registry on December 23, 2013.

Where is Maryam Hassanpour located?

Maryam Hassanpour practices at 2670 S White Rd Ste 160, San Jose, CA 95148. The listed phone number is (408) 826-7679.

What is Maryam Hassanpour's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maryam Hassanpour enrolled in Medicare?

Yes. Maryam Hassanpour 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 Maryam Hassanpour was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.