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MARISSA LEIGH KHAJAVI MD
NPI 1235543224
Preventive Medicine - Public Health & General Preventive Medicine in Columbia, MD

Active since June 17, 2014PECOS Enrolled
5500 KNOLL NORTH DR STE 370, COLUMBIA, MD 21045(410) 837-2050(866) 629-0091 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2021, Jan 4, 2021 (2 updates tracked since 2021).

About Marissa Leigh Khajavi Md NPPES

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

MARISSA LEIGH KHAJAVI MD (NPI 1235543224) is an individual public health & general preventive medicine provider in Columbia, Maryland, licensed in Maryland (D0085229) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235543224
Entity TypeIndividualFemale
Primary Taxonomy2083P0901X
Provider Legal NameMARISSA LEIGH KHAJAVICredential: MD
Location Address5500 KNOLL NORTH DR STE 370Columbia, MD 21045-2393
Mailing Address1111 N Charles StBaltimore, MD 21201-5505 · (410) 837-2050 · Fax (866) 629-0091
Phone(410) 837-2050
Fax(866) 629-0091
Sole ProprietorYes
Enumeration DateJune 17, 2014
Last NPPES UpdateFebruary 11, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2021
✔ NPI 1235543224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License✔ Licensed in MD · D0085229
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License P30079 (MD)
5500 KNOLL NORTH DR STE 370, Columbia, MD 21045
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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 (PECOS)

Marissa Leigh Khajavi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Marissa Khajavi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chase Brexton Health Services, Inc.
13 mi
Federally Qualified Health Center (FQHC)
1111 NORTH CHARLES STREET
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 213 clinicians in this Medicare group
NPI 1588606305 (410) 837-2050

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 21045 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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 20

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

MANIRAJ JEYARAJU MD
Family Medicine
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Howard County (410) 837-2050
ALYSSA MILLER LGSW
Social Worker (School)
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Howard County (410) 837-2050
SHANNON SANTORO LCSW-C
Social Worker (Clinical)
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Howard County (410) 837-2050
MS. LISA MONIQUE JAMES LCSW-C
Social Worker (Clinical)
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Howard County (410) 837-2050
AYANA GALLEGO DDS
Dentist (General Practice)
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Howard County (410) 837-2050
NECOLE M. DIGGS
Social Worker (Clinical)
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Howard County (410) 837-2050
ALYSSA TORAN LCSW-C
Social Worker (Clinical)
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Howard County (410) 884-7831
BENJAMIN DAHUNSI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Howard County (410) 837-2050

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 Marissa Khajavi's NPI number?

The NPI number for Marissa Khajavi is 1235543224. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Where is Marissa Khajavi located?

Marissa Khajavi practices at 5500 Knoll North Dr Ste 370, Columbia, MD 21045. The listed phone number is (410) 837-2050.

What is Marissa Khajavi's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Marissa Khajavi enrolled in Medicare?

Yes. Marissa Khajavi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marissa Khajavi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Khajavi reassigns Medicare benefits to Chase Brexton Health Services, Inc. (Baltimore, 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 Marissa Khajavi'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 Marissa Khajavi was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.