SEYED MAHDI HOSSEINI SIAHKALMAHALLEH
NPI 1861217259
Nurse Practitioner - Family in Live Oak, TX

Q: What is Seyed Mahdi Hosseini Siahkalmahalleh's NPI number?

The NPI number for Seyed Mahdi Hosseini Siahkalmahalleh is 1861217259. It was assigned to this individual provider in the NPPES registry on November 20, 2024.

Q: What is Seyed Mahdi Hosseini Siahkalmahalleh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 20, 2024PECOS EnrolledAccepts Medicare Assignment

12881 N IH 35, LIVE OAK, TX 78233(210) 742-6555 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2025, Nov 20, 2024 (2 updates tracked since 2024).

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About Seyed Mahdi Hosseini Siahkalmahalleh NPPES

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

SEYED MAHDI HOSSEINI SIAHKALMAHALLEH (NPI 1861217259) is an individual family provider in Live Oak, Texas, licensed in Texas (1172153) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1861217259

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSEYED MAHDI HOSSEINI SIAHKALMAHALLEH

Location Address12881 N IH 35Live Oak, TX 78233-2966

Mailing Address12881 N Ih 35Live Oak, TX 78233-2966 · (210) 742-6555

Phone(210) 742-6555

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 20, 2024

Last NPPES UpdateJune 13, 20252 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1861217259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1172153

12881 N IH 35, Live Oak, TX 78233

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Seyed Mahdi Hosseini Siahkalmahalleh 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 ID4183145444

PECOS Enrollment IDI20250304001404

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78233 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

JONI MAXWELL

Nurse Practitioner (Primary Care)