MARYAM DALILI MD
NPI 1598339103
Family Medicine - Addiction Medicine in Cape Girardeau, MO

Q: What is Maryam Dalili's NPI number?

The NPI number for Maryam Dalili is 1598339103. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Q: What is Maryam Dalili's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Q: When was this NPI record last updated?

The NPPES record for Maryam Dalili was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 18, 2021PECOS EnrolledAccepts Medicare Assignment

3250 GORDONVILLE RD STE 450, CAPE GIRARDEAU, MO 63703(573) 331-5329(573) 331-5085 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Maryam Dalili Md NPPES

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

MARYAM DALILI MD (NPI 1598339103) is an individual addiction medicine provider in Cape Girardeau, Missouri, licensed in Missouri (2024039298) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1598339103

Entity TypeIndividualFemale

Primary Taxonomy207QA0401X

Provider Legal NameMARYAM DALILICredential: MD

Location Address3250 GORDONVILLE RD STE 450Cape Girardeau, MO 63703-5031

Mailing AddressPo Box 801143Kansas City, MO 64180-1143 · (573) 331-5583 · Fax (573) 331-5079

Phone(573) 331-5329

Fax(573) 331-5085

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 18, 2021

Last NPPES UpdateFebruary 12, 2026

NPPES CertifiedFebruary 12, 2026

✔ NPI 1598339103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in MO · 2024039298

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

3250 GORDONVILLE RD STE 450, Cape Girardeau, MO 63703

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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 and accepts Medicare assignment

Maryam Dalili 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 ID4385048073

PECOS Enrollment IDI20251023002219

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 63703 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 4

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

ROBERT E GARDNER MD

Psychiatry & Neurology (Neurology)

3250 GORDONVILLE RD STE 450
CAPE GIRARDEAU, MO 63703

Cape Girardeau County (573) 651-3188

RICHARD WILLIAM TOBEY D.O.

Family Medicine

3250 GORDONVILLE RD STE 450
CAPE GIRARDEAU, MO 63703

Cape Girardeau County (573) 331-5329

VALERIE KAY HOTOP FNP

Nurse Practitioner (Family)

3250 GORDONVILLE RD STE 450
CAPE GIRARDEAU, MO 63703

Cape Girardeau County (573) 331-5329

CANDICE REBECCA CROW AGPCNP

Nurse Practitioner (Adult Health)

3250 GORDONVILLE RD STE 450
CAPE GIRARDEAU, MO 63703

Cape Girardeau County (573) 331-5329

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 Dalili's NPI number?

The NPI number for Maryam Dalili is 1598339103. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Maryam Dalili located?

Maryam Dalili practices at 3250 Gordonville Rd Ste 450, Cape Girardeau, MO 63703. The listed phone number is (573) 331-5329.

What is Maryam Dalili's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Maryam Dalili enrolled in Medicare?

Yes. Maryam Dalili 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.

When was this NPI record last updated?

The NPPES record for Maryam Dalili was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.