ROBERT FERDOWSMAKAN MD, DMD
NPI 1255482527
Oral & Maxillofacial Surgery in San Diego, CA

Active since January 15, 2007PECOS Enrolled
4765 CARMEL MOUNTAIN RD STE 105, SAN DIEGO, CA 92130(858) 481-8248(858) 481-8612 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robert Ferdowsmakan Md, Dmd NPPES

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

ROBERT FERDOWSMAKAN MD, DMD (NPI 1255482527) is an individual oral & maxillofacial surgery provider in San Diego, California, licensed in California (A94751) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255482527
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameROBERT FERDOWSMAKANCredential: MD, DMD
Location Address4765 CARMEL MOUNTAIN RD STE 105San Diego, CA 92130-6657
Mailing Address4765 Carmel Mountain Rd Ste 105San Diego, CA 92130-6657 · (858) 481-8248 · Fax (858) 481-8612
Fax(858) 481-8612
Sole ProprietorNo
Enumeration DateJanuary 15, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1255482527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in CA · A94751
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 49312 (CA)
4765 CARMEL MOUNTAIN RD STE 105, San Diego, CA 92130

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Ferdowsmakan Md, Dmd 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 Robert Ferdowsmakan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 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

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

Podiatrist (Foot & Ankle Surgery)
4765 CARMEL MOUNTAIN RD STE 105
SAN DIEGO, CA 92130

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 Robert Ferdowsmakan's NPI number?

The NPI number for Robert Ferdowsmakan is 1255482527. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Robert Ferdowsmakan located?

Robert Ferdowsmakan practices at 4765 Carmel Mountain Rd Ste 105, San Diego, CA 92130. The listed phone number is (858) 481-8248.

What is Robert Ferdowsmakan's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Robert Ferdowsmakan enrolled in Medicare?

Yes. Robert Ferdowsmakan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Ferdowsmakan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Ferdowsmakan reassigns Medicare benefits to Emergency And Acute Care Medical Corporation (San Diego, 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 Robert Ferdowsmakan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Ferdowsmakan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Robert Ferdowsmakan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Ferdowsmakan was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.