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HERA MARYAM
NPI 1164047585
Internal Medicine - Infectious Disease in Santa Monica, CA

Active since June 11, 2020PECOS EnrolledAccepts Medicare Assignment
1245 16TH ST STE 307, SANTA MONICA, CA 90404(310) 481-4242 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2026, Jun 11, 2020 (2 updates tracked since 2020).

About Hera Maryam NPPES

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

HERA MARYAM (NPI 1164047585) is an individual infectious disease provider in Santa Monica, California, licensed in California (A188042) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2020).

NPPES Registry Identity

NPI1164047585
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameHERA MARYAM
Location Address1245 16TH ST STE 307Santa Monica, CA 90404-1239
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707
Phone(310) 481-4242
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 2020
Enumeration DateJune 11, 2020
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1164047585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in CA · A188042
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1245 16TH ST STE 307, Santa Monica, CA 90404
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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

Hera Maryam 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 ID5597238410
PECOS Enrollment IDI20260623001857
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.

Medicare Billing Reassignment

Medicare enrollment records show Hera Maryam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Regents Of The University Of California
3.9 mi
Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 clinicians in this Medicare group
NPI 1235107566 (310) 794-1276

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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 5

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

DR. CONNIE MEEYOUNG RHEE M.D.
Internal Medicine (Nephrology)
1245 16TH ST STE 307
SANTA MONICA, CA 90404
Los Angeles County (310) 481-4228
JESSICA CARYN FISCHER M.D.
Internal Medicine (Infectious Disease)
1245 16TH ST STE 307
SANTA MONICA, CA 90404
Los Angeles County (310) 481-4242
DR. LUCY NGOC BICH TRAN MD
Internal Medicine (Infectious Disease)
1245 16TH ST STE 307
SANTA MONICA, CA 90404
Los Angeles County (310) 481-4242
HENRY GEORGE ZELADA CASTRO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1245 16TH ST STE 307
SANTA MONICA, CA 90404
Los Angeles County (310) 899-7633
YING HUI LUU M.D.
Internal Medicine (Nephrology)
1245 16TH ST STE 307
SANTA MONICA, CA 90404
Los Angeles County (310) 899-7633

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 Hera Maryam's NPI number?

The NPI number for Hera Maryam is 1164047585. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Hera Maryam located?

Hera Maryam practices at 1245 16th St Ste 307, Santa Monica, CA 90404. The listed phone number is (310) 481-4242.

What is Hera Maryam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Hera Maryam enrolled in Medicare?

Yes. Hera Maryam 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 Hera Maryam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hera Maryam reassigns Medicare benefits to The Regents Of The University Of California (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 Hera Maryam'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 Hera Maryam was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.