DR. MITRA AYAZIFAR MD
NPI 1972520641
Ophthalmology in Roseville, CA
About Dr. Mitra Ayazifar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MITRA AYAZIFAR MD (NPI 1972520641) is an individual ophthalmology provider in Roseville, California, licensed in California (C52250) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Mitra Ayazifar 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 Reassignments
4Medicare enrollment records show Mitra Ayazifar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roseville, CA 95661
- Reassigned Medicare billing, California enrollment
Grass Valley, CA 95945
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Jackson, CA 95642
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Areas of Expertise CMS Part B claims 15
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, CA 95661
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 Mitra Ayazifar's NPI number?
The NPI number for Mitra Ayazifar is 1972520641. It was assigned to this individual provider in the NPPES registry on July 17, 2006.
Where is Mitra Ayazifar located?
Mitra Ayazifar practices at 9221 Sierra College Blvd Suite 130, Roseville, CA 95661. The listed phone number is (916) 797-6747.
What is Mitra Ayazifar's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Mitra Ayazifar enrolled in Medicare?
Yes. Mitra Ayazifar 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 Mitra Ayazifar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitra Ayazifar reassigns Medicare benefits to 4 organizations: Capital Eye Medical Group (Roseville, CA), Sierra View Medical Eye., Inc (Grass Valley, CA), Sierra Eyecare Associates (Jackson, CA) and Permanente Medical Group Inc (Stockton, CA). 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 Mitra Ayazifar'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 Mitra Ayazifar was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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. Mitra Ayazifar, MD · NPI 1972520641
Ophthalmology physician in Roseville, California. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1972520641 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** C52250 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9221 SIERRA COLLEGE BLVD, SUITE 130, Roseville, CA 95661-5919
- **Phone:** (916) 797-6747 · **Fax:** (916) 797-6728
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Capital Eye Medical Group (NPI 1962783928, Roseville, CA); Sierra View Medical Eye., Inc (NPI 1982631941, Grass Valley, CA); Sierra Eyecare Associates (NPI 1699854158, Jackson, CA); Permanente Medical Group Inc (NPI 1548343510, Stockton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** March 16, 2017
- **Other identifiers:** Medicare UPIN H58187 (RI)
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Source: [NPI Profile](https://npiprofile.com/npi/1972520641) · Data from the CMS NPPES public registry.