MARYAM SADOUGH SHAHMIRZADI MD
NPI 1780210617
Pathology - Anatomic Pathology in Saint Cloud, MN
About Maryam Sadough Shahmirzadi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYAM SADOUGH SHAHMIRZADI MD (NPI 1780210617) is an individual anatomic pathology provider in Saint Cloud, Minnesota, licensed in District Of Columbia (MD6000040) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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 Sadough Shahmirzadi 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.
Medicare Billing Reassignment
Medicare enrollment records show Maryam Sadough Shahmirzadi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20037
- Reassigned Medicare billing, District of Columbia enrollment
- 1,275 clinicians in this Medicare group
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 56301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Sadough Shahmirzadi's NPI number?
The NPI number for Maryam Sadough Shahmirzadi is 1780210617. It was assigned to this individual provider in the NPPES registry on March 23, 2020.
Where is Maryam Sadough Shahmirzadi located?
Maryam Sadough Shahmirzadi practices at 4340 Clearwater Rd Apt 116, Saint Cloud, MN 56301. The listed phone number is (415) 525-0390.
What is Maryam Sadough Shahmirzadi's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.
Is Maryam Sadough Shahmirzadi enrolled in Medicare?
Yes. Maryam Sadough Shahmirzadi 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 organization bills Medicare for Maryam Sadough Shahmirzadi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Sadough Shahmirzadi reassigns Medicare benefits to Medical Faculty Associates, Inc (Washington, DC). The 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 Sadough Shahmirzadi'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 Sadough Shahmirzadi was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Maryam Sadough Shahmirzadi, MD · NPI 1780210617
Anatomic Pathology physician in Saint Cloud, Minnesota. Individual provider, active in the CMS NPPES registry since March 23, 2020.
## Identity
- **NPI:** 1780210617 (Entity type: Individual)
- **Enumerated:** March 23, 2020
- **Primary specialty:** Pathology - Anatomic Pathology · taxonomy 207ZP0101X
- **State license:** MD6000040 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4340 CLEARWATER RD APT 116, Saint Cloud, MN 56301-9642
- **Phone:** (415) 525-0390
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medical Faculty Associates, Inc (NPI 1417990581, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780210617) · Data from the CMS NPPES public registry.