MARYAM SHARIF-HASSANABADI (M.D.) – Nephrology Physician, NPI 1811287394

MARYAM SHARIF-HASSANABADI (M.D.) is a healthcare provider. based in Vallejo, California. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. A116460 (CA). The NPI Number for MARYAM SHARIF-HASSANABADI (M.D.) is 1811287394

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MARYAM SHARIF-HASSANABADI (M.D.)
NPI
1811287394
Phone
(707) 651-2570
Address
975 SERENO DR
Enumeration Date
18 April 2011
Last Update Date
16 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7076511000
Graduation Year
2002 (24 years ago)
PAC ID
0042445751
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20221020002634
Address ID
CA945892441VA975XXDRXX300
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

1,404 NEPHROLOGY in CA

Provider Addresses for MARYAM SHARIF-HASSANABADI (M.D.)

  • 975 SERENO DR

    VALLEJO, CA 945892441

    Phone: (707) 651-2570

    Type: Location

  • 101 BODIN CIR

    NEPHROLOGY(60MDOS/SGOMKH)

    TRAVIS AFB, CA 945351809

    Phone: (707) 816-5930

    Fax: (707) 816-5665

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2023-09-14 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($26).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-10-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221020002634INephrologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes22569$0
99214Established patient office or other outpatient visit, 30-39 minutes16094$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5141$0
99291Critical care, first 30-74 minutes3916$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 94589)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm MARYAM SHARIF-HASSANABADI (M.D.)'s NPI?
Yes. MARYAM SHARIF-HASSANABADI (M.D.) is listed with NPI 1811287394 in the public NPI dataset.
Does CMS list MARYAM SHARIF-HASSANABADI (M.D.) as active?
Yes — MARYAM SHARIF-HASSANABADI (M.D.) is active in the NPI listing used on this page.
What is MARYAM SHARIF-HASSANABADI (M.D.) best known for clinically?
Directory data describes MARYAM SHARIF-HASSANABADI (M.D.) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
Does MARYAM SHARIF-HASSANABADI (M.D.) list a practice location?
Patients near Vallejo, California may find MARYAM SHARIF-HASSANABADI (M.D.) in results; validate coverage separately.
Is the information about MARYAM SHARIF-HASSANABADI (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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