SHAHRAM FATEMI (M.D.) – Family Medicine Physician, NPI 1245284686
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
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Provider Addresses for SHAHRAM FATEMI (M.D.)
3400 DATA DR
RANCHO CORDOVA, CA 956707956
Phone:
Type: Mailing
North Rose Avenue, Oxnard, Ventura County, California, 93030, United States
SUITE 210
OXNARD, CA 930303790
Phone: (805) 988-8058
Fax: (805) 983-0803
Type: Location
1700, North Rose Avenue, Oxnard, Ventura County, California, 93030, United States
SUITE 210
OXNARD, CA 930307639
Phone: (805) 988-8058
Fax: (805) 983-0803
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $743.
Total Amount is formed as General ($743) + Research ($0) + Ownership ($0) = $743.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Novo Nordisk Inc ($137).
Total Amount
$743
General + Research + Ownership
Payments
16
Total payment records
General Amount
$743
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-10-26
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 |
|---|---|---|---|---|
| I20041026001108 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 880 | 223 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 64 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 62 | 62 | $0 |
| G0008 | Administration of influenza virus vaccine | 16 | 16 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 15 | 15 | $0 |
Insurance plans in this area (ZIP 95670)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Pediatric Medicine | CA | |
| - | CA | |
| Family Practice | OR | |
| Family Practice | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA |
Reviews
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