DR. MARYAM EZADI KHAKPOUR
NPI 1811107725
Dentist - General Practice in Walnut Creek, CA
About Dr. Maryam Ezadi Khakpour NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARYAM EZADI KHAKPOUR (NPI 1811107725) is an individual general practice provider in Walnut Creek, California, licensed in California (55625) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 (PECOS)
Dr. Maryam Ezadi Khakpour is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94596 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALNUT CREEK, CA 94596
WALNUT CREEK, CA 94596
WALNUT CREEK, CA 94596
WALNUT CREEK, CA 94596
WALNUT CREEK, CA 94596
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 Khakpour's NPI number?
The NPI number for Maryam Khakpour is 1811107725. It was assigned to this individual provider in the NPPES registry on May 22, 2007. The provider is also known as Mrs. Maryam Ezadi.
Where is Maryam Khakpour located?
Maryam Khakpour practices at 1844 San Miguel Dr Suite # 206, Walnut Creek, CA 94596. The listed phone number is (925) 279-3326.
What is Maryam Khakpour's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Maryam Khakpour enrolled in Medicare?
Yes. Maryam Khakpour is registered in the Medicare PECOS enrollment system.
What insurance does Maryam Khakpour accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Maryam Khakpour 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.
When was this NPI record last updated?
The NPPES record for Maryam Khakpour was last updated on July 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Maryam Ezadi Khakpour · NPI 1811107725
General Practice provider in Walnut Creek, California. Individual provider, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1811107725 (Entity type: Individual)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 55625 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1844 SAN MIGUEL DR, SUITE # 206, Walnut Creek, CA 94596-4962
- **Phone:** (925) 279-3326 · **Fax:** (925) 279-2270
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 28, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1811107725) · Data from the CMS NPPES public registry.