MARYAM KHALILI DDS-PROSTHODONTIST
NPI 1578101630
Dentist - Prosthodontics in Philadelphia, PA

Q: What is Maryam Khalili's NPI number?

The NPI number for Maryam Khalili is 1578101630. It was assigned to this individual provider in the NPPES registry on December 19, 2019.

Q: What is Maryam Khalili's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Maryam Khalili was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since December 19, 2019PECOS Enrolled

3223 N BROAD ST OFC 314, PHILADELPHIA, PA 19140(773) 807-9934 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, Nov 9, 2022, Dec 19, 2019 (3 updates tracked since 2019).

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About Maryam Khalili Dds-prosthodontist NPPES

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

MARYAM KHALILI DDS-PROSTHODONTIST (NPI 1578101630) is an individual prosthodontics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS045634) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1578101630

Entity TypeIndividualFemale

Primary Taxonomy1223P0700X

Provider Legal NameMARYAM KHALILICredential: DDS-PROSTHODONTIST

Location Address3223 N BROAD ST OFC 314Philadelphia, PA 19140-5007

Mailing Address545 N Broad StPhiladelphia, PA 19123-3592 · (215) 874-7611

Phone(773) 807-9934

Sole ProprietorNo

Enumeration DateDecember 19, 2019

Last NPPES UpdateMay 21, 20263 updates tracked since enumeration

NPPES CertifiedMay 21, 2026

✔ NPI 1578101630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in PA · DS045634

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Also ListedDentistTaxonomy 122300000X · License 34590 (TX), 0401416303 (VA)

3223 N BROAD ST OFC 314, Philadelphia, PA 19140

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Secondary Practice Location 1

Location 1545 N Broad StPhiladelphia, PA 19123-3592 · Phone (215) 874-7611

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryam Khalili Dds-prosthodontist 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Khalili's NPI number?

The NPI number for Maryam Khalili is 1578101630. It was assigned to this individual provider in the NPPES registry on December 19, 2019.

Where is Maryam Khalili located?

Maryam Khalili practices at 3223 N Broad St Ofc 314, Philadelphia, PA 19140. The listed phone number is (773) 807-9934.

What is Maryam Khalili's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Maryam Khalili enrolled in Medicare?

Yes. Maryam Khalili is registered in the Medicare PECOS enrollment system.

What insurance does Maryam Khalili accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Maryam Khalili 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.

When was this NPI record last updated?

The NPPES record for Maryam Khalili was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.