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

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: October 18, 2026.

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 (2019).

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 2019
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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Maryam Dalili reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Francis Medical Center
0.1 mi
Emergency Medicine
211 ST FRANCID DR
Cape Girardeau, MO 63703
  • Reassigned Medicare billing, Missouri enrollment
  • 595 clinicians in this Medicare group
NPI 1528198942 (573) 331-5228
Bhg Lxxiv, LLC
60 mi
Rehabilitation, Substance Use Disorder
1369 N WESTWOOD BLVD STE C
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 15 clinicians in this Medicare group
NPI 1629789961 (573) 722-7937
Bhgxxix, LLC
60 mi
Rehabilitation, Substance Use Disorder
1369 N WESTWOOD BLVD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 11 clinicians in this Medicare group
NPI 1508277229 (573) 772-7937
Bhg Xliii, LLC
207 mi
Rehabilitation, Substance Use Disorder
2551 W KEARNEY ST
Springfield, MO 65803
  • Reassigned Medicare billing, Missouri enrollment
  • 10 clinicians in this Medicare group
NPI 1558805754 (214) 365-6100
Vcphcs Xv, LLC
275 mi
Rehabilitation, Substance Use Disorder
2919 E 4TH ST
Joplin, MO 64801
  • Reassigned Medicare billing, Missouri enrollment
  • 11 clinicians in this Medicare group
NPI 1144666264 (417) 782-7966
Vcphcs Xiv, LLC
299 mi
Rehabilitation, Substance Use Disorder
6331 W. 110TH STREET
Overland Park, KS 66211
  • Reassigned Medicare billing, Kansas enrollment
  • 2 clinicians in this Medicare group
NPI 1619313665 (913) 696-1911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Maryam Dalili's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Dalili reassigns Medicare benefits to 6 organizations: Saint Francis Medical Center (Cape Girardeau, MO), Bhg Lxxiv, LLC (Poplar Bluff, MO), Bhgxxix, LLC (Poplar Bluff, MO), Bhg Xliii, LLC (Springfield, MO), Vcphcs Xv, LLC (Joplin, MO) and 1 more organization, listed in the Medicare section above. 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 Maryam Dalili'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 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 8 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.