1. Home
  2. Directory
  3. Minnesota
  4. Crosby
  5. Physician Assistant
  6. NPI Profile

MARYAM ZEHTABPOUR PA
NPI 1427480581
Physician Assistant - Medical in Crosby, MN

Active since July 31, 2013PECOS EnrolledAccepts Medicare Assignment
320 E MAIN ST, CROSBY, MN 56441(218) 546-7000(218) 545-4456 Get Directions Write a Review

NPPES record last updated: July 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maryam Zehtabpour Pa NPPES

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

MARYAM ZEHTABPOUR PA (NPI 1427480581) is an individual medical provider in Crosby, Minnesota, licensed in Minnesota (11326) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1427480581
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARYAM ZEHTABPOURCredential: PA
Location Address320 E MAIN STCrosby, MN 56441-1645
Mailing Address320 E Main StCrosby, MN 56441-1645 · (218) 546-7000 · Fax (218) 545-4456
Phone(218) 546-7000
Fax(218) 545-4456
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 31, 2013
✔ NPI 1427480581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MN · 11326
320 E MAIN ST, Crosby, MN 56441
Open in Google Maps ↗

Other Identifiers 1

Other11326MN · Minnesota License

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

Maryam Zehtabpour Pa 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 ID3971734203
PECOS Enrollment IDI20171207001652
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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

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.

MATTHEW FRANCIS FLEMING PA-C
Physician Assistant
320 E MAIN ST, ATTN: ORTHOPEDICS
CROSBY, MN 56441
Crow Wing County (218) 546-7000
DR. CAMILLE E LANG M.D.
Family Medicine
320 E MAIN ST, CENTRAL LAKES MEDICAL CLINIC, PA
CROSBY, MN 56441
Crow Wing County (218) 546-7000
DR. BRIANNE MARIE BURMEISTER PHARM.D.
Pharmacist
320 E MAIN ST
CROSBY, MN 56441
Crow Wing County (218) 546-2345
JAMIE WITHROW RD,LD,CDE
Dietetic Technician, Registered
320 E MAIN ST
CROSBY, MN 56441
Crow Wing County (218) 546-7000
ADAM R ENGLISH
Nurse Practitioner (Family)
320 E MAIN ST
CROSBY, MN 56441
Crow Wing County (218) 546-7000
STACI RANAE ROSLANSKY APRN,CNP
Nurse Practitioner
320 E MAIN ST
CROSBY, MN 56441
Crow Wing County (218) 546-7000
CUYUNA REGIONAL MEDICAL CENTER
Medicare Defined Swing Bed Unit
320 E MAIN ST
CROSBY, MN 56441
Crow Wing County (218) 546-7000
KATELYN SARLETTE PA-C
Physician Assistant
320 E MAIN ST
CROSBY, MN 56441
Crow Wing County (218) 546-7000

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 Zehtabpour's NPI number?

The NPI number for Maryam Zehtabpour is 1427480581. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Where is Maryam Zehtabpour located?

Maryam Zehtabpour practices at 320 E Main St, Crosby, MN 56441. The listed phone number is (218) 546-7000.

What is Maryam Zehtabpour's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Maryam Zehtabpour enrolled in Medicare?

Yes. Maryam Zehtabpour 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 Maryam Zehtabpour was last updated on July 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.