DR. MARYAM DOLATSHAHI M.D.
NPI 1992053581
Student in an Organized Health Care Education/Training Program in San Jose, CA
About Dr. Maryam Dolatshahi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARYAM DOLATSHAHI M.D. (NPI 1992053581) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
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. Maryam Dolatshahi M.d. 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 Reassignment
Medicare enrollment records show Maryam Dolatshahi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 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 2
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
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 Dolatshahi's NPI number?
The NPI number for Maryam Dolatshahi is 1992053581. It was assigned to this individual provider in the NPPES registry on August 29, 2012.
Where is Maryam Dolatshahi located?
Maryam Dolatshahi practices at 455 Oconnor Dr Ste 250, San Jose, CA 95128. The listed phone number is (530) 750-9742.
What is Maryam Dolatshahi's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Maryam Dolatshahi enrolled in Medicare?
Yes. Maryam Dolatshahi 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 organization bills Medicare for Maryam Dolatshahi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Dolatshahi reassigns Medicare benefits to Sutter Bay Medical Foundation (Palo Alto, 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 Maryam Dolatshahi'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 Dolatshahi was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 Dolatshahi, M.D. · NPI 1992053581
Student in an Organized Health Care Education/Training Program provider in San Jose, California. Individual provider, active in the CMS NPPES registry since August 29, 2012.
## Identity
- **NPI:** 1992053581 (Entity type: Individual)
- **Enumerated:** August 29, 2012
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 455 OCONNOR DR STE 250, San Jose, CA 95128-1644
- **Phone:** (530) 750-9742
## 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:** Sutter Bay Medical Foundation (NPI 1013950807, Palo Alto, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Davis School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** June 17, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1992053581) · Data from the CMS NPPES public registry.