HESHAAM M. FALLAH MD
NPI 1508180456
Oral & Maxillofacial Surgery in Oakland, CA

Q: What is Heshaam Fallah's NPI number?

The NPI number for Heshaam Fallah is 1508180456. It was assigned to this individual provider in the NPPES registry on March 22, 2010.

Q: What is Heshaam Fallah's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Heshaam Fallah was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 22, 2010PECOS Enrolled

275 W MACARTHUR, OAKLAND, CA 94611(510) 752-1000(902) 473-6855 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Heshaam M. Fallah Md NPPES

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

HESHAAM M. FALLAH MD (NPI 1508180456) is an individual oral & maxillofacial surgery provider in Oakland, California, licensed in California (A106484) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508180456

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameHESHAAM M. FALLAHCredential: MD

Location Address275 W MACARTHUROakland, CA 94611-5641

Mailing Address275 W MacarthurOakland, CA 94611-5641 · (510) 752-1000 · Fax (902) 473-6855

Phone(510) 752-1000

Fax(902) 473-6855

Sole ProprietorYes

Enumeration DateMarch 22, 2010

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1508180456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in CA · A106484

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 51335 (CA)

275 W MACARTHUR, Oakland, CA 94611

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heshaam M. Fallah Md 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.

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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.

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