Karim Nouri Mahdavie, MD is a medicare enrolled "Allergy & Immunology" physician in Simi Valley, California. His current practice location is
2755 Alamo St, Ste 100, Simi Valley, California. You can reach out to his office (for appointments etc.) via phone at
(805) 210-7280.
Karim Nouri Mahdavie is licensed to practice in California (license number C50379) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568456911.
Physician's Profile
| Full Name | Karim Nouri Mahdavie |
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| Gender | Male |
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| Speciality | Allergy & Immunology |
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| Location | 2755 Alamo St, Simi Valley, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568456911
- Provider Enumeration Date: 08/31/2005
- Last Update Date: 09/16/2010
Medicare PECOS Information:
- PECOS PAC ID: 1254488505
- Enrollment ID: I20090402000589
Medical Identifiers
Medical identifiers for Karim Nouri Mahdavie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568456911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | C50379 (California) | Primary |
| 208000000X | Pediatrics | C50379 (California) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Karim Nouri Mahdavie allows following entities to bill medicare on his behalf.
| Entity Name | Northeast Valley Health Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629079009
PECOS PAC ID: 3173517323
Enrollment ID: O20040412001067 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Karim Nouri Mahdavie is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Karim Nouri Mahdavie, MD
4775 Del Moreno Pl,
Woodland Hills, CA 91364-4634
Ph: (818) 346-4380 | Karim Nouri Mahdavie, MD
2755 Alamo St, Ste 100,
Simi Valley, CA 93065-1311
Ph: (805) 210-7280 |
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