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MARYAM TAVANAEI MD
NPI 1154811271
Internal Medicine - Nephrology in North Hollywood, CA

Active since May 14, 2018PECOS EnrolledAccepts Medicare Assignment
12660 RIVERSIDE DR STE 215, NORTH HOLLYWOOD, CA 91607(424) 314-7660 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2023, Mar 27, 2021, May 14, 2018 (3 updates tracked since 2018).

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

NPI1154811271
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMARYAM TAVANAEICredential: MD
Location Address12660 RIVERSIDE DR STE 215North Hollywood, CA 91607-3430
Mailing Address400 W Pueblo St OfcSanta Barbara, CA 93105-4353
Phone(424) 314-7660
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 14, 2018
Last NPPES UpdateOctober 10, 20233 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1154811271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A173242
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12660 RIVERSIDE DR STE 215, North Hollywood, CA 91607
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1100 Hospital Rd Ste 201East Patchogue, NY 11772-8814 · Phone (631) 475-6900
Location 2400 W Pueblo St OfcSanta Barbara, CA 93105-4353 · Phone (805) 699-8757
Location 3757 Westwood PlzLos Angeles, CA 90095-8358 · Phone (310) 948-6958

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

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.

PECOS PAC ID5799148656
PECOS Enrollment IDI20230825001562
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
614 services263 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
168 services157 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
154 services74 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
104 services51 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
100 services60 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients

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.

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.

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.

LORIE KAVAFYAN D.O.
Internal Medicine
12660 RIVERSIDE DR STE 215
NORTH HOLLYWOOD, CA 91607
Los Angeles County (818) 487-0040
GELA G MCHEDLISHVILI MD
Internal Medicine (Nephrology)
12660 RIVERSIDE DR STE 215
NORTH HOLLYWOOD, CA 91607
Los Angeles County (818) 487-0040

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.

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 2 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.