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ROYA FATHI M.D.
NPI 1801104179
Internal Medicine - Geriatric Medicine in Agoura Hills, CA

Active since September 20, 2010PECOS Enrolled
28901 CANMORE ST, AGOURA HILLS, CA 91301(312) 351-0420 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Roya Fathi M.d. NPPES

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

ROYA FATHI M.D. (NPI 1801104179) is an individual geriatric medicine provider in Agoura Hills, California, licensed in California (A124602) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801104179
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameROYA FATHICredential: M.D.
Location Address28901 CANMORE STAgoura Hills, CA 91301-1716
Mailing Address28901 Canmore StAgoura Hills, CA 91301-1716 · (312) 351-0420
Phone(312) 351-0420
Sole ProprietorYes
Enumeration DateSeptember 20, 2010
Last NPPES UpdateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1801104179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Licenses✔ Licensed in CA · A124602✔ Licensed in DE · C12-0000037
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
28901 CANMORE ST, Agoura Hills, CA 91301
Open in Google Maps ↗

Other Identifiers 1

Other1801104179CA · Npi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roya Fathi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Roya Fathi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
285 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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 91301 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Roya Fathi's NPI number?

The NPI number for Roya Fathi is 1801104179. It was assigned to this individual provider in the NPPES registry on September 20, 2010.

Where is Roya Fathi located?

Roya Fathi practices at 28901 Canmore St, Agoura Hills, CA 91301. The listed phone number is (312) 351-0420.

What is Roya Fathi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Roya Fathi enrolled in Medicare?

Yes. Roya Fathi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roya Fathi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roya Fathi reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). 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 Roya Fathi'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 Roya Fathi was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.