ELHAM NOVIN BAHERAN MD
NPI 1245432897
Internal Medicine in Santa Maria, CA

Active since June 05, 2007PECOS EnrolledAccepts Medicare Assignment
1400 E CHURCH ST, SANTA MARIA, CA 93454(805) 739-3235 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elham Novin Baheran Md NPPES

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

ELHAM NOVIN BAHERAN MD (NPI 1245432897) is an individual internal medicine provider in Santa Maria, California, licensed in California (A109275) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1245432897
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELHAM NOVIN BAHERANCredential: MD
Location Address1400 E CHURCH STSanta Maria, CA 93454-5906
Mailing Address1837 Tularosa RdLompoc, CA 93436-9643 · (805) 368-8138
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 5, 2007
Last NPPES UpdateJanuary 13, 2022
NPPES CertifiedJanuary 13, 2022
NPI 1245432897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A109275
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1400 E CHURCH ST, Santa Maria, CA 93454

Secondary Practice Locations 2

Location 11837 Tularosa RdLompoc, CA 93436-9643 · Phone (805) 368-8138
Location 21515 E Ocean AveLompoc, CA 93436-7092 · Phone (805) 737-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elham Novin Baheran 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.

PECOS PAC ID1254404676
PECOS Enrollment IDI20100517000346
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.

Areas of Expertise CMS Part B claims 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
185 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
176 services99 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
97 services97 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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
$139.99 typical visit price
range $62.01 – $184.40
Typical copayment $34.99 (range $15.50 – $46.10)
Most-billed visit code 99204
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
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.

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%254 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant
1400 E CHURCH ST
SANTA MARIA, CA 93454
Social Worker
1400 E CHURCH ST
SANTA MARIA, CA 93454
Student in an Organized Health Care Education/Training Program
1400 E CHURCH ST
SANTA MARIA, CA 93454
Physician Assistant
1400 E CHURCH ST
SANTA MARIA, CA 93454
Internal Medicine (Nephrology)
1400 E CHURCH ST, BUILDING 8
SANTA MARIA, CA 93454
Internal Medicine
1400 E CHURCH ST
SANTA MARIA, CA 93454
Emergency Medicine
1400 E CHURCH ST
SANTA MARIA, CA 93454
Emergency Medicine
1400 E CHURCH ST
SANTA MARIA, CA 93454

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 Elham Novin Baheran's NPI number?

The NPI number for Elham Novin Baheran is 1245432897. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Elham Novin Baheran located?

Elham Novin Baheran practices at 1400 E Church St, Santa Maria, CA 93454. The listed phone number is (805) 739-3235.

What is Elham Novin Baheran's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elham Novin Baheran enrolled in Medicare?

Yes. Elham Novin Baheran 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.

When was this NPI record last updated?

The NPPES record for Elham Novin Baheran was last updated on January 13, 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.