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DR. SHAHRIAR SETOUDEH-MARAM MD
NPI 1619950359
Family Medicine in Carrollton, TX

Active since November 28, 2005PECOS EnrolledAccepts Medicare Assignment
96.57/100
CMS Quality Rating
3044 OLD DENTON RD STE 317, CARROLLTON, TX 75007(972) 242-4440(972) 242-4949 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Shahriar Setoudeh-maram Md NPPES

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

DR. SHAHRIAR SETOUDEH-MARAM MD (NPI 1619950359) is an individual family medicine provider in Carrollton, Texas, licensed in Texas (M7611) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1619950359
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHAHRIAR SETOUDEH-MARAMCredential: MD
Location Address3044 OLD DENTON RD STE 317Carrollton, TX 75007-5017
Mailing Address3044 Old Denton Rd Ste 317Carrollton, TX 75007-5017 · (972) 242-4440 · Fax (972) 242-4949
Phone(972) 242-4440
Fax(972) 242-4949
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 28, 2005
Last NPPES UpdateMarch 19, 2014
✔ NPI 1619950359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M7611
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3044 OLD DENTON RD STE 317, Carrollton, TX 75007
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Other Identifiers 3

Medicare PIN00Z957TX
Medicare UPINI45314
Medicare UPIN8L22784TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Shahriar Setoudeh-maram 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 ID9032138219
PECOS Enrollment IDI20080506000778
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

3

Medicare enrollment records show Shahriar Setoudeh-maram reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mc Healthcare PA
Same address
Primary Care
3044 OLD DENTON RD STE 317
Carrollton, TX 75007
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1295053973 (972) 242-4440
Innovative Emergency Physicians Of Uptown
15 mi
Emergency Medicine
2727 E LEMMON AVE
Dallas, TX 75204
  • Reassigned Medicare billing, Texas enrollment
  • 59 clinicians in this Medicare group
NPI 1144098690 (214) 443-3000
Concord Medical Group Of Texas PLLC
290 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
NPI 1750790762 (888) 264-0330

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,306 services192 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
712 services106 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
274 services160 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
165 services130 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
93 services93 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75007 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.15
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers73 claims150 services$6.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers44 claims48 services$1.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MC HEALTHCARE PA
Clinic/Center (Primary Care)
3044 OLD DENTON RD STE 317
CARROLLTON, TX 75007
Denton County (972) 242-4440
HONG PHUNG NGUYEN FNP
Nurse Practitioner (Family)
3044 OLD DENTON RD STE 317
CARROLLTON, TX 75007
Denton County (940) 242-4440

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 Shahriar Setoudeh-maram's NPI number?

The NPI number for Shahriar Setoudeh-maram is 1619950359. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Shahriar Setoudeh-maram located?

Shahriar Setoudeh-maram practices at 3044 Old Denton Rd Ste 317, Carrollton, TX 75007. The listed phone number is (972) 242-4440.

What is Shahriar Setoudeh-maram's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shahriar Setoudeh-maram enrolled in Medicare?

Yes. Shahriar Setoudeh-maram 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 Shahriar Setoudeh-maram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shahriar Setoudeh-maram reassigns Medicare benefits to 3 organizations: Mc Healthcare PA (Carrollton, TX), Innovative Emergency Physicians Of Uptown (Dallas, TX) and Concord Medical Group Of Texas PLLC (Lubbock, TX). 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 Shahriar Setoudeh-maram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shahriar Setoudeh-maram accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Shahriar Setoudeh-maram 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 Shahriar Setoudeh-maram affiliated with any hospitals?

According to CMS data, Shahriar Setoudeh-maram is affiliated with Medical City Plano.

When was this NPI record last updated?

The NPPES record for Shahriar Setoudeh-maram was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.