KAYVAN FATHIMANI D.D.S.
NPI 1396040127
Dentist - Oral and Maxillofacial Surgery in Lone Tree, CO
About Kayvan Fathimani D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAYVAN FATHIMANI D.D.S. (NPI 1396040127) is an individual oral and maxillofacial surgery provider in Lone Tree, Colorado, licensed in Colorado (DEN.00204716) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of University Of Toronto Faculty Of Dentistry (2009).
NPPES Registry Identity
Specialties & Licenses
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 and accepts Medicare assignment
Kayvan Fathimani D.d.s. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kayvan Fathimani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lone Tree, CO 80124
- Reassigned Medicare billing, Colorado enrollment
New York, NY 10007
- Reassigned Medicare billing, New York enrollment
- 4 clinicians in this Medicare group
Bronx, NY 10451
- Reassigned Medicare billing, New York enrollment
- 971 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONE TREE, CO 80124
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 Kayvan Fathimani's NPI number?
The NPI number for Kayvan Fathimani is 1396040127. It was assigned to this individual provider in the NPPES registry on January 26, 2011.
Where is Kayvan Fathimani located?
Kayvan Fathimani practices at 10535 Park Meadows Blvd Ste 250, Lone Tree, CO 80124. The listed phone number is (303) 381-7101.
What is Kayvan Fathimani's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Kayvan Fathimani enrolled in Medicare?
Yes. Kayvan Fathimani 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 Kayvan Fathimani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kayvan Fathimani reassigns Medicare benefits to 3 organizations: Colorado Oral And Facial Cosmetic Surgery, PLLC (Lone Tree, CO), Dental Specialty Associates PC (New York, NY) and Downtown Bronx Medical Associates PC (Bronx, NY). 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 Kayvan Fathimani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kayvan Fathimani 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 6 other insurers list Kayvan Fathimani 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 Kayvan Fathimani was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kayvan Fathimani, D.D.S. · NPI 1396040127
Oral and Maxillofacial Surgery provider in Lone Tree, Colorado. Individual provider, active in the CMS NPPES registry since January 26, 2011.
## Identity
- **NPI:** 1396040127 (Entity type: Individual)
- **Enumerated:** January 26, 2011
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** DEN.00204716 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 10535 PARK MEADOWS BLVD STE 250, Lone Tree, CO 80124-8401
- **Phone:** (303) 381-7101
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Colorado Oral And Facial Cosmetic Surgery, PLLC (NPI 1336914282, Lone Tree, CO); Dental Specialty Associates PC (NPI 1275592693, New York, NY); Downtown Bronx Medical Associates PC (NPI 1689618407, Bronx, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Toronto Faculty Of Dentistry, class of 2009
## Record status
- **NPPES last updated:** November 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396040127) · Data from the CMS NPPES public registry.