MARYAM BAYATMOKHTARI
NPI 1346869575
Family Medicine in Orlando, FL

Q: What is Maryam Bayatmokhtari's NPI number?

The NPI number for Maryam Bayatmokhtari is 1346869575. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Q: What is Maryam Bayatmokhtari's specialty?

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

Active since April 08, 2020PECOS Enrolled

4613 S ORANGE BLOSSOM TRL, ORLANDO, FL 32839(407) 232-9833(407) 232-9829 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2023, Jun 7, 2023, Apr 8, 2020 (3 updates tracked since 2020).

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About Maryam Bayatmokhtari NPPES

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

MARYAM BAYATMOKHTARI (NPI 1346869575) is an individual family medicine provider in Orlando, Florida, licensed in Florida (ME158751) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346869575

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARYAM BAYATMOKHTARI

Location Address4613 S ORANGE BLOSSOM TRLOrlando, FL 32839-1705

Mailing Address4613 S Orange Blossom TrlOrlando, FL 32839-1705 · (407) 232-9833 · Fax (407) 232-9829

Phone(407) 232-9833

Fax(407) 232-9829

Sole ProprietorNo

Enumeration DateApril 8, 2020

Last NPPES UpdateJune 13, 20233 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1346869575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME158751

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.

4613 S ORANGE BLOSSOM TRL, Orlando, FL 32839

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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)

Maryam Bayatmokhtari 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 Maryam Bayatmokhtari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dedicated Senior Medical Center Of Florida, LLC

70 mi

Specialist

1901 FLETCHER AVENUE
Tampa, FL 33612

Reassigned Medicare billing, Florida enrollment
348 clinicians in this Medicare group

NPI 1700393881 (305) 628-6117

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32839 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES 9

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

NATACHA SEIDU ARNP

Nurse Practitioner (Family)