DR. KAMRAN DASTOURY M.D.
NPI 1275831208
Oral & Maxillofacial Surgery in Lakewood, CO
About Dr. Kamran Dastoury M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAMRAN DASTOURY M.D. (NPI 1275831208) is an individual oral & maxillofacial surgery provider in Lakewood, Colorado, licensed in Colorado (000203543) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rancho Cucamonga.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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)
Dr. Kamran Dastoury M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kamran Dastoury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Highlands Ranch, CO 80129
- Reassigned Medicare billing, Colorado enrollment
- 58 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.
LAKEWOOD, CO 80215
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 Kamran Dastoury's NPI number?
The NPI number for Kamran Dastoury is 1275831208. It was assigned to this individual provider in the NPPES registry on February 28, 2011.
Where is Kamran Dastoury located?
Kamran Dastoury practices at 2290 Kipling St Unit 2, Lakewood, CO 80215. The listed phone number is (661) 466-8266.
What is Kamran Dastoury's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Kamran Dastoury enrolled in Medicare?
Yes. Kamran Dastoury is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kamran Dastoury's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kamran Dastoury reassigns Medicare benefits to Trauma And Emergency Subspecialty Surgeons PLLC (Highlands Ranch, CO). 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 Kamran Dastoury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kamran Dastoury accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 13 other insurers list Kamran Dastoury 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 Kamran Dastoury was last updated on May 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Kamran Dastoury, M.D. · NPI 1275831208
Oral & Maxillofacial Surgery physician in Lakewood, Colorado. Individual provider, active in the CMS NPPES registry since February 28, 2011.
## Identity
- **NPI:** 1275831208 (Entity type: Individual)
- **Enumerated:** February 28, 2011
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** 000203543 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2290 KIPLING ST UNIT 2, Lakewood, CO 80215-1546
- **Phone:** (661) 466-8266
## 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:** Trauma And Emergency Subspecialty Surgeons PLLC (NPI 1740543933, Highlands Ranch, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1275831208) · Data from the CMS NPPES public registry.