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DR. MARYAM HASSANESFAHANI MD
NPI 1346821816
Student in an Organized Health Care Education/Training Program in Flushing, NY

Active since April 16, 2021PECOS Enrolled
4500 PARSONS BLVD, FLUSHING, NY 11355(718) 670-8830 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2026, Apr 16, 2021 (2 updates tracked since 2021).

About Dr. Maryam Hassanesfahani Md NPPES

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

DR. MARYAM HASSANESFAHANI MD (NPI 1346821816) is an individual student in an organized health care education/training program in Flushing, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1346821816
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MARYAM HASSANESFAHANICredential: MD
Location Address4500 PARSONS BLVDFlushing, NY 11355-2205
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321
Phone(718) 670-8830
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 16, 2021
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1346821816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4500 PARSONS BLVD, Flushing, NY 11355
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maryam Hassanesfahani Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234695123
PECOS Enrollment IDI20260730004961
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 Maryam Hassanesfahani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
7.8 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331

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 20

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

FAZLA RABBY MD
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5000
DANIELA VULTORIUS
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5000
SUSY J DIAZ MD
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5939
DEEMAH STALHAMER D.O.
Anesthesiology
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5631
DR. TANVIRA M ISLAM MD
Psychiatry & Neurology (Psychiatry)
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 406-8268
UZOEGO CHIBUZO X MD
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5535
DR. TALWINDER SINGH DO
Hospitalist
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5000
MS. SRINARMADHA CHANDRAN MBBS
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5000

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 Maryam Hassanesfahani's NPI number?

The NPI number for Maryam Hassanesfahani is 1346821816. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Maryam Hassanesfahani located?

Maryam Hassanesfahani practices at 4500 Parsons Blvd, Flushing, NY 11355. The listed phone number is (718) 670-8830.

What is Maryam Hassanesfahani's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Maryam Hassanesfahani enrolled in Medicare?

Yes. Maryam Hassanesfahani is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maryam Hassanesfahani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Hassanesfahani reassigns Medicare benefits to Montefiore Medical Center (New York, NY). 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 Maryam Hassanesfahani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maryam Hassanesfahani was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.