KEIVAN GAZY
NPI 1225732357
Nurse Practitioner - Psychiatric/Mental Health in Fulton, MD
About Keivan Gazy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEIVAN GAZY (NPI 1225732357) is an individual psychiatric/mental health provider in Fulton, Maryland, licensed in Maryland (R224515) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
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 and accepts Medicare assignment
Keivan Gazy 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 Keivan Gazy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fulton, MD 20759
- Reassigned Medicare billing, Maryland enrollment
- 7 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 8
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 20759 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FULTON, MD 20759
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 Keivan Gazy's NPI number?
The NPI number for Keivan Gazy is 1225732357. It was assigned to this individual provider in the NPPES registry on March 30, 2023.
Where is Keivan Gazy located?
Keivan Gazy practices at 8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759. The listed phone number is (240) 786-4527.
What is Keivan Gazy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Keivan Gazy enrolled in Medicare?
Yes. Keivan Gazy 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 Keivan Gazy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keivan Gazy reassigns Medicare benefits to Esno Health Group (Fulton, MD). 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 Keivan Gazy'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 Keivan Gazy was last updated on March 30, 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.
# Keivan Gazy · NPI 1225732357
Psychiatric/Mental Health physician in Fulton, Maryland. Individual provider, active in the CMS NPPES registry since March 30, 2023.
## Identity
- **NPI:** 1225732357 (Entity type: Individual)
- **Enumerated:** March 30, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R224515 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 8115 MAPLE LAWN BLVD STE 350, Fulton, MD 20759-2683
- **Phone:** (240) 786-4527
## 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:** Esno Health Group (NPI 1740783539, Fulton, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1225732357) · Data from the CMS NPPES public registry.