Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAZDA MOTALLEBI MD
NPI 1538333729
Internal Medicine - Clinical Cardiac Electrophysiology in El Segundo, CA

Active since April 17, 2008PECOS EnrolledAccepts Medicare Assignment
830 PENN ST, EL SEGUNDO, CA 90245(310) 913-1169 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 15, 2026, Jun 1, 2026, Oct 10, 2025 and 1 more (4 updates tracked since 2019).

About Mazda Motallebi Md NPPES

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

MAZDA MOTALLEBI MD (NPI 1538333729) is an individual clinical cardiac electrophysiology provider in El Segundo, California, licensed in California (A84184) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Muhlenberg Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1538333729
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameMAZDA MOTALLEBICredential: MD
Location Address830 PENN STEl Segundo, CA 90245-2511
Mailing Address830 Penn StEl Segundo, CA 90245-2511
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateApril 17, 2008
Last NPPES UpdateOctober 15, 20264 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1538333729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Licenses✔ Licensed in CA · A84184✔ Licensed in TN · 77552✔ Licensed in KY · 61298
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal MedicineTaxonomy 207R00000X · License 77552 (TN)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 77552 (TN), A84184 (CA)
830 PENN ST, El Segundo, CA 90245

Secondary Practice Locations 2

Location 11301 Pleasant Valley Rd Ste 202Owensboro, KY 42303-9774 · Phone (270) 417-7500 · Fax (270) 417-7509
Location 22050 Meadowview PkwyKingsport, TN 37660-7332 · Phone (423) 230-5000

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

Mazda Motallebi Md 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 ID5294877387
PECOS Enrollment IDI20250806001663, I20260630000124
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 Reassignments

4

Medicare enrollment records show Mazda Motallebi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Cardiac Electrophysiology
830 PENN ST
El Segundo, CA 90245
  • Reassigned Medicare billing, California enrollment
Internal Medicine
12900 PARK PLAZA DR, STE 700, MS-7110
Cerritos, CA 90703
  • Reassigned Medicare billing, California enrollment
  • 235 clinicians in this Medicare group
Nurse Practitioner
1871 US HIGHWAY 41A S
Dixon, KY 42409
  • Reassigned Medicare billing, Kentucky enrollment
  • 643 clinicians in this Medicare group
Cardiovascular Disease
2050 MEADOWVIEW PARKWAY
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 124 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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Owensboro Health Muhlenberg Community Hospital

Acute Care Hospitals · Greenville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180004
Location440 Hopkinsville StreetGreenville, KY 42345 · Muhlenberg County
Emergency services

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90245 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Clinical Cardiac Electrophysiology)
830 PENN ST
EL SEGUNDO, CA 90245

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 Mazda Motallebi's NPI number?

The NPI number for Mazda Motallebi is 1538333729. It was assigned to this individual provider in the NPPES registry on April 17, 2008.

Where is Mazda Motallebi located?

Mazda Motallebi practices at 830 Penn St, El Segundo, CA 90245. The listed phone number is (310) 913-1169.

What is Mazda Motallebi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Mazda Motallebi enrolled in Medicare?

Yes. Mazda Motallebi 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 Mazda Motallebi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mazda Motallebi reassigns Medicare benefits to 4 organizations: Mazda Motallebi MD Inc (El Segundo, CA), Albion Medical Partners Of California West P C (Cerritos, CA), Owensboro Health Medical Group Inc (Dixon, KY) and Wellmont Cardiology Services (Kingsport, TN). 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 Mazda Motallebi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mazda Motallebi accept?

Health plans from UnitedHealthcare list Mazda Motallebi 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.

Is Mazda Motallebi affiliated with any hospitals?

According to CMS data, Mazda Motallebi is affiliated with Owensboro Health Muhlenberg Community Hospital, Owensboro Health Regional Hospital and Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Mazda Motallebi was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.