MARYAM BANIKAZEMI MD
NPI 1831164672
Medical Genetics, Ph.D. Medical Genetics in Valhalla, NY

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
100 WOODS RD, VALHALLA, NY 10595(914) 909-9018 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maryam Banikazemi Md NPPES

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

MARYAM BANIKAZEMI MD (NPI 1831164672) is an individual medical genetics, ph.d. medical genetics provider in Valhalla, New York, licensed in New York (218942) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Valhalla, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1831164672
Entity TypeIndividualFemale
Primary Taxonomy170100000X
Provider Legal NameMARYAM BANIKAZEMICredential: MD
Location Address100 WOODS RDValhalla, NY 10595-1530
Mailing Address19 Bradhurst Ave Ste 3100nHawthorne, NY 10532-2140 · (914) 909-9018 · Fax (914) 909-9028
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateFebruary 22, 2006
Last NPPES UpdateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1831164672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics, Ph.D. Medical GeneticsOther Service Providers
Taxonomy Code170100000X
License✔ Licensed in NY · 218942
Definition
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
100 WOODS RD, Valhalla, NY 10595

Secondary Practice Location 1

Location 1503 Grasslands Rd, Suite # 200Valhalla, NY 10595-1503 · Phone (914) 304-5280 · Fax (914) 345-1753

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 Banikazemi 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 ID6103840624
PECOS Enrollment IDI20060123000769
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

4

Medicare enrollment records show Maryam Banikazemi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
General Practice
1901 1ST AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 623 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.

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.

Nurse Practitioner (Neonatal, Critical Care)
100 WOODS RD
VALHALLA, NY 10595
Anesthesiology
100 WOODS RD
VALHALLA, NY 10595
Dietitian, Registered
100 WOODS RD
VALHALLA, NY 10595
Internal Medicine
100 WOODS RD
VALHALLA, NY 10595
Internal Medicine
100 WOODS RD
VALHALLA, NY 10595
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595

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 Banikazemi's NPI number?

The NPI number for Maryam Banikazemi is 1831164672. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Maryam Banikazemi located?

Maryam Banikazemi practices at 100 Woods Rd, Valhalla, NY 10595. The listed phone number is (914) 909-9018.

What is Maryam Banikazemi's specialty?

The primary specialty registered for this NPI is Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.

Is Maryam Banikazemi enrolled in Medicare?

Yes. Maryam Banikazemi 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 Maryam Banikazemi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Banikazemi reassigns Medicare benefits to 4 organizations: Westchester Medical Center Advanced Physician Services PC (Valhalla, NY), Boston Children's Health Physicians, LLP (Hawthorne, NY), Physician Affiliate Group Of New York PC (New York, NY) and Metropolitan Medical Practice Plan PC (New York, NY). 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 Maryam Banikazemi'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 Banikazemi was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.