MARYAM TAVANAEI MD
NPI 1154811271
Internal Medicine - Nephrology in North Hollywood, CA
About Maryam Tavanaei Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYAM TAVANAEI MD (NPI 1154811271) is an individual nephrology provider in North Hollywood, California, licensed in California (A173242) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
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
Maryam Tavanaei Md 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 Reassignment
Medicare enrollment records show Maryam Tavanaei reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 2,118 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.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH HOLLYWOOD, CA 91607
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 Tavanaei's NPI number?
The NPI number for Maryam Tavanaei is 1154811271. It was assigned to this individual provider in the NPPES registry on May 14, 2018.
Where is Maryam Tavanaei located?
Maryam Tavanaei practices at 12660 Riverside Dr Ste 215, North Hollywood, CA 91607. The listed phone number is (424) 314-7660.
What is Maryam Tavanaei's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Maryam Tavanaei enrolled in Medicare?
Yes. Maryam Tavanaei 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 organization bills Medicare for Maryam Tavanaei's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Tavanaei reassigns Medicare benefits to Cedars-Sinai Medical Care Foundation (Los Angeles, CA). The 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 Maryam Tavanaei'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 Maryam Tavanaei was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Maryam Tavanaei, MD · NPI 1154811271
Nephrology physician in North Hollywood, California. Individual provider, active in the CMS NPPES registry since May 14, 2018.
## Identity
- **NPI:** 1154811271 (Entity type: Individual)
- **Enumerated:** May 14, 2018
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** A173242 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12660 RIVERSIDE DR STE 215, North Hollywood, CA 91607-3430
- **Phone:** (424) 314-7660
## 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:** Cedars-Sinai Medical Care Foundation (NPI 1043826720, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** October 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1154811271) · Data from the CMS NPPES public registry.