MR. MAXIMILIAN MALAK BACCARAT MFTI
NPI 1528412608
Marriage & Family Therapist in San Francisco, CA
About Mr. Maximilian Malak Baccarat Mfti NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MAXIMILIAN MALAK BACCARAT MFTI (NPI 1528412608) is an individual marriage & family therapist in San Francisco, California, licensed in California (92470) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Mr. Maximilian Malak Baccarat Mfti 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 Reassignment
Medicare enrollment records show Maximilian Baccarat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94102
- Reassigned Medicare billing, California enrollment
- 1,573 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.
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.
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 Maximilian Baccarat's NPI number?
The NPI number for Maximilian Baccarat is 1528412608. It was assigned to this individual provider in the NPPES registry on April 14, 2016.
Where is Maximilian Baccarat located?
Maximilian Baccarat practices at 684 Ellis St, San Francisco, CA 94109. The listed phone number is (415) 409-4611.
What is Maximilian Baccarat's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Maximilian Baccarat enrolled in Medicare?
Yes. Maximilian Baccarat 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 organization bills Medicare for Maximilian Baccarat's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maximilian Baccarat reassigns Medicare benefits to City & County Of San Francisco (San Francisco, 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 Maximilian Baccarat'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 Maximilian Baccarat was last updated on April 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mr. Maximilian Malak Baccarat, MFTI · NPI 1528412608
Marriage & Family Therapist provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since April 14, 2016.
## Identity
- **NPI:** 1528412608 (Entity type: Individual)
- **Enumerated:** April 14, 2016
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 92470 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 684 ELLIS ST, San Francisco, CA 94109-8090
- **Phone:** (415) 409-4611
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** City & County Of San Francisco (NPI 1134235559, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 14, 2016
- **Other identifiers:** Medicaid 1720385032 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1528412608) · Data from the CMS NPPES public registry.