CYRUS MIRZAZADEH MD
NPI 1194465617
Student in an Organized Health Care Education/Training Program in Oakland, CA
About Cyrus Mirzazadeh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CYRUS MIRZAZADEH MD (NPI 1194465617) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cyrus Mirzazadeh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Cyrus Mirzazadeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94107
- Reassigned Medicare billing, California enrollment
- 1,573 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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
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 Cyrus Mirzazadeh's NPI number?
The NPI number for Cyrus Mirzazadeh is 1194465617. It was assigned to this individual provider in the NPPES registry on March 31, 2022.
Where is Cyrus Mirzazadeh located?
Cyrus Mirzazadeh practices at Kaiser Permanente Oakland Medical Center 275 W Macarthur Blvd., Oakland, CA 94611. The listed phone number is (510) 752-1000.
What is Cyrus Mirzazadeh's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Cyrus Mirzazadeh enrolled in Medicare?
Yes. Cyrus Mirzazadeh is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Cyrus Mirzazadeh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cyrus Mirzazadeh reassigns Medicare benefits to City & County Of San Francisco (San Francisco, 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 Cyrus Mirzazadeh'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 Cyrus Mirzazadeh was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Cyrus Mirzazadeh, MD · NPI 1194465617
Student in an Organized Health Care Education/Training Program provider in Oakland, California. Individual provider, active in the CMS NPPES registry since March 31, 2022.
## Identity
- **NPI:** 1194465617 (Entity type: Individual)
- **Enumerated:** March 31, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** KAISER PERMANENTE OAKLAND MEDICAL CENTER, 275 W MACARTHUR BLVD., Oakland, CA 94611
- **Phone:** (510) 752-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** City & County Of San Francisco (NPI 1568923894, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194465617) · Data from the CMS NPPES public registry.