MARYAM GHOLIZADEH (M.D.) – Pediatric Surgery Physician, NPI 1194724583
Pediatric Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
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Provider Addresses for MARYAM GHOLIZADEH (M.D.)
1120, West La Veta Avenue, Orange, Orange County, California, 92868, United States
STE. 100
ORANGE, CA 928684231
Phone: (714) 289-4704
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-05-24 • Largest payer in this snapshot: ATRICURE, INC. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-06-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040629000810 | I | General Surgery | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92868)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | CA | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | CA | |
| G A S T R O E N T E R O L O G Y | CA | |
| - | CA | |
| Pediatric Medicine, Medical Genetics And Genomics | CA | |
| Pediatric Medicine, Allergy/Immunology | CA | |
| Pediatric Medicine | CA | |
| Diagnostic Radiology | NJ | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | CA |
Reviews
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