SHABNAM MORTAZAVI MD, MPH
NPI 1295154847
Radiology - Diagnostic Radiology in Los Angeles, CA

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
75.48/100
CMS Quality Rating
757 WESTWOOD PLZ STE 1638, LOS ANGELES, CA 90095(310) 267-8796(310) 267-2059 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2023, Oct 28, 2019, Jul 26, 2019 and 1 more (4 updates tracked since 2019).

About Shabnam Mortazavi Md, Mph NPPES

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

SHABNAM MORTAZAVI MD, MPH (NPI 1295154847) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A161296) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Monica, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1295154847
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSHABNAM MORTAZAVICredential: MD, MPH
Location Address757 WESTWOOD PLZ STE 1638Los Angeles, CA 90095-8358
Mailing Address5767 W Century Blvd Suite 400Los Angeles, CA 90095-5631 · (310) 301-8707 · Fax (310) 301-8751
Fax(310) 267-2059
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 10, 2014
Last NPPES UpdateJanuary 13, 20234 updates tracked since enumeration
NPI 1295154847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A161296
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
757 WESTWOOD PLZ STE 1638, Los Angeles, CA 90095

Secondary Practice Location 1

Location 11245 16th St Ste 105Santa Monica, CA 90404-1239 · Phone (310) 301-6800 · Fax (310) 794-9035

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

Shabnam Mortazavi Md, Mph 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 ID5496050536
PECOS Enrollment IDI20190612000269
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

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

75.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.27
Promoting Interoperability100
Improvement Activities40
Cost55.01

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.

Radiology (Vascular & Interventional Radiology)
757 WESTWOOD PLZ STE 1638
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
757 WESTWOOD PLZ STE 1638
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
757 WESTWOOD PLZ STE 1638
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ STE 1638
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
757 WESTWOOD PLZ STE 1638
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
757 WESTWOOD PLZ STE 1638
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
757 WESTWOOD PLZ STE 1638
LOS ANGELES, CA 90095
Radiology (Vascular & Interventional Radiology)
757 WESTWOOD PLZ STE 1638
LOS ANGELES, CA 90095

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 Shabnam Mortazavi's NPI number?

The NPI number for Shabnam Mortazavi is 1295154847. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Shabnam Mortazavi located?

Shabnam Mortazavi practices at 757 Westwood Plz Ste 1638, Los Angeles, CA 90095. The listed phone number is (310) 267-8796.

What is Shabnam Mortazavi's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Shabnam Mortazavi enrolled in Medicare?

Yes. Shabnam Mortazavi 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 Shabnam Mortazavi was last updated on January 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.