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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Heshaam Fallah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
10 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

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.

LUCAS C. VAN DYKE MD
Psychiatry & Neurology (Psychiatry)
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
SUZANNE P WHITCOMB PT
Physical Therapist
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
JENNIFER I. HARRIS MD
Emergency Medicine
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
MISS DENITZA V HRISTOVA PT
Physical Therapist
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
ANNA WONG PSY
Psychologist (Clinical)
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
CHEE C. CHOW MD
Internal Medicine (Rheumatology)
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
MR. KEITH M. THIBAULT NP
Nurse Practitioner
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
DAVID B. POOR DDS
Dentist (Oral and Maxillofacial Surgery)
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000

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 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.

Where is Heshaam Fallah located?

Heshaam Fallah practices at 275 W Macarthur, Oakland, CA 94611. The listed phone number is (510) 752-1000.

What is Heshaam Fallah's specialty?

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

Is Heshaam Fallah enrolled in Medicare?

Yes. Heshaam Fallah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heshaam Fallah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heshaam Fallah reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). 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 Heshaam Fallah'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 Heshaam Fallah was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.