MARIAM NEJATI MD
NPI 1285098574
Family Medicine in Frederick, MD

Q: What is Mariam Nejati's NPI number?

The NPI number for Mariam Nejati is 1285098574. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Q: What is Mariam Nejati's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mariam Nejati was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment

9093 RIDGEFIELD DR, FREDERICK, MD 21701(301) 682-4100 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mariam Nejati Md NPPES

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

MARIAM NEJATI MD (NPI 1285098574) is an individual family medicine provider in Frederick, Maryland, licensed in Maryland (D0088067) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1285098574

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARIAM NEJATICredential: MD

Location Address9093 RIDGEFIELD DRFrederick, MD 21701-6710

Mailing Address2131 S 17th StWilmington, NC 28401-7407

Phone(301) 682-4100

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateApril 12, 2016

Last NPPES UpdateSeptember 5, 2019

✔ NPI 1285098574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MD · D0088067

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 218831 (NC)

9093 RIDGEFIELD DR, Frederick, MD 21701

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Secondary Practice Location 1

Location 12131 S 17th StWilmington, NC 28401-7407 · Phone (910) 343-7000 · Fax (910) 667-5650

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Mariam Nejati 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 ID2860783347

PECOS Enrollment IDI20191105001989

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 Reassignments

Medicare enrollment records show Mariam Nejati reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Care Center LLC

38 mi

Internal Medicine

950 N GLEBE RD, SUITE 4000
Arlington, VA 22203

Reassigned Medicare billing, Maryland enrollment
339 clinicians in this Medicare group

NPI 1164874426 (571) 366-8850

Privia Medical Group, LLC

38 mi

Internal Medicine

950 N GLEBE RD STE 700
Arlington, VA 22203

Reassigned Medicare billing, Maryland enrollment
668 clinicians in this Medicare group

NPI 1013042480 (571) 366-8850

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 13

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.

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.

442 services187 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

108 services86 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

99 services99 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

81 services80 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

80 services79 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

37 services37 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

33 services33 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

19 services16 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

19 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

17 services13 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

16 services14 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

15 services15 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210005

Location400 West Seventh StFrederick, MD 21701 · Frederick County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21701 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers18 claims42 services$6.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

DR. DEVENDER VERMA D.D.S

Dentist

9093 RIDGEFIELD DR, SUITE 203
FREDERICK, MD 21701

Frederick County (301) 624-1001

RAHELEH MAKHMALBAF D.M.D

Dentist (General Practice)

9093 RIDGEFIELD DR, SUITE 203
FREDERICK, MD 21701

Frederick County (301) 624-1001

MS. SUSAN MARIAN LUBORSKY MS OTRL

Occupational Therapist

9093 RIDGEFIELD DR, SUITE 102
FREDERICK, MD 21701

Frederick County (301) 846-4769

VERMA ENTERPRISES, P.C.

Dentist (Oral and Maxillofacial Pathology)

9093 RIDGEFIELD DR, SUITE 203
FREDERICK, MD 21701

Frederick County (301) 624-1001

DR. ARPANA S. VERMA D.D.S

Dentist (General Practice)

9093 RIDGEFIELD DR, SUITE 203
FREDERICK, MD 21701

Frederick County (301) 624-1001

MS. CHERYL L WILKIE CCC SLP

Speech-Language Pathologist

9093 RIDGEFIELD DR, SUITE 102
FREDERICK, MD 21701

Frederick County (301) 846-4769

MS. KELLY M BEINS BHSC OTRL

Occupational Therapist (Pediatrics)

9093 RIDGEFIELD DR, SUITE 102
FREDERICK, MD 21701

Frederick County (301) 846-4769

MS. BARBARA ANN LUBORSKY OTRL

Occupational Therapist (Pediatrics)

9093 RIDGEFIELD DR, SUITE 102
FREDERICK, MD 21701

Frederick County (301) 846-4769

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 Mariam Nejati's NPI number?

The NPI number for Mariam Nejati is 1285098574. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Mariam Nejati located?

Mariam Nejati practices at 9093 Ridgefield Dr, Frederick, MD 21701. The listed phone number is (301) 682-4100.

What is Mariam Nejati's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mariam Nejati enrolled in Medicare?

Yes. Mariam Nejati 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 organizations bill Medicare for Mariam Nejati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Nejati reassigns Medicare benefits to 2 organizations: Privia Care Center LLC (Arlington, VA) and Privia Medical Group, LLC (Arlington, VA). Each 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 Mariam Nejati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariam Nejati accept?

Health plans from Oscar Health list Mariam Nejati 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.

Is Mariam Nejati affiliated with any hospitals?

According to CMS data, Mariam Nejati is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Mariam Nejati was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.