DR. MARYAM REZVANI M.D.
NPI 1770701542
Radiology - Diagnostic Radiology in Salt Lake City, UT

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
30 NORTH 1900 EAST, #1A71, SALT LAKE CITY, UT 84132(801) 581-8699(801) 581-2414 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Nov 15, 2021, Nov 17, 2015 (2 updates tracked since 2015).

About Dr. Maryam Rezvani M.d. NPPES

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

DR. MARYAM REZVANI M.D. (NPI 1770701542) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (6586813-1205) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Indiana University School Of Medicine (2001).

NPPES Registry Identity

NPI1770701542
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MARYAM REZVANICredential: M.D.
Location Address30 NORTH 1900 EAST, #1A71Salt Lake City, UT 84132
Mailing Address30 N 1900 E, #1a71Salt Lake City, UT 84132-2140 · (801) 581-7553
Fax(801) 581-2414
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2001
Enumeration DateApril 24, 2007
Last NPPES UpdateNovember 15, 20212 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
✔ NPI 1770701542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in UT · 6586813-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 036-115412 (IL), 01060592A (IN), 65868131205 (UT)
30 NORTH 1900 EAST, Salt Lake City, UT 84132

Accepted Insurance

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

Dr. Maryam Rezvani M.d. 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 ID1658465976
PECOS Enrollment IDI20070918000291
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.

Areas of Expertise CMS Part B claims 19

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.

Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
220 services216 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
78 services78 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
53 services44 patients
Complete ultrasound scan of abdomen 76700
A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.
43 services43 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
39 services36 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Preventive Medicine (Occupational Medicine)
30 NORTH 1900 EAST, UNIVERSITY OF UTAH SCHOOL OF MEDICINE, INTERNAL MEDICIN
SALT LAKE CITY, UT 84132

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 Rezvani's NPI number?

The NPI number for Maryam Rezvani is 1770701542. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Maryam Rezvani located?

Maryam Rezvani practices at 30 North 1900 East #1a71, Salt Lake City, UT 84132. The listed phone number is (801) 581-8699.

What is Maryam Rezvani's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Maryam Rezvani enrolled in Medicare?

Yes. Maryam Rezvani 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.

What insurance does Maryam Rezvani accept?

Health plans from Molina Healthcare list Maryam Rezvani 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 Maryam Rezvani affiliated with any hospitals?

According to CMS data, Maryam Rezvani is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Maryam Rezvani was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.