DR. SIAMAK P ETEHAD MD
NPI 1184728479
Internal Medicine in Northridge, CA
About Dr. Siamak P Etehad Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SIAMAK P ETEHAD MD (NPI 1184728479) is an individual internal medicine provider in Northridge, California, licensed in California (A43714) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Van Nuys, and is a graduate of Other (1980).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Siamak P Etehad 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 Siamak Etehad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Northridge, CA 91325
- Reassigned Medicare billing, California enrollment
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 23
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 91325 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 30
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Siamak Etehad's NPI number?
The NPI number for Siamak Etehad is 1184728479. It was assigned to this individual provider in the NPPES registry on September 8, 2006.
Where is Siamak Etehad located?
Siamak Etehad practices at 17075 Devonshire #100, Northridge, CA 91325. The listed phone number is (818) 831-7767.
What is Siamak Etehad's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Siamak Etehad enrolled in Medicare?
Yes. Siamak Etehad 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 Siamak Etehad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Siamak Etehad reassigns Medicare benefits to Siamak Etehad MD Inc A Medical Corporation (Northridge, 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 Siamak Etehad'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 Siamak Etehad was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.