MARYAM AMINZADEH (AA) – Anesthesiologist Assistant, NPI 1477706364

MARYAM AMINZADEH (AA) is a healthcare provider. based in Orlando, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials AA. They hold a License No. AA17 (FL). The NPI Number for MARYAM AMINZADEH (AA) is 1477706364

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MARYAM AMINZADEH (AA)
NPI
1477706364
Phone
(352) 265-0077
Address
PO BOX 918025
Enumeration Date
23 October 2008
Last Update Date
17 December 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522658982
Graduation Year
2008 (18 years ago)
PAC ID
1759442114
Group Practice PAC ID
0345146254
Professional Enrollment ID
I20081204000439
Address ID
FL326081532GA2001XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

936 ANESTHESIOLOGY ASSISTANT in FL

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Provider Addresses for MARYAM AMINZADEH (AA)

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328918025

    Phone: (352) 265-0077

    Fax: (352) 265-6922

    Type: Mailing

  • UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States

    GAINESVILLE, FL 326103003

    Phone: (352) 265-0077

    Fax: (352) 265-6922

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-12-04

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
I20081204000439IAnesthesiology AssistantFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32891)

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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: 0345146254View full group profile

Reviews

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Frequently asked questions

Can I cross-check MARYAM AMINZADEH (AA) using NPI 1477706364?
NPI 1477706364 belongs to MARYAM AMINZADEH (AA); compare other details if you need extra assurance.
Would MARYAM AMINZADEH (AA) appear as active to a payer?
You can treat MARYAM AMINZADEH (AA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MARYAM AMINZADEH (AA)?
MARYAM AMINZADEH (AA)'s record emphasizes Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Is MARYAM AMINZADEH (AA) located near Orlando?
MARYAM AMINZADEH (AA) currently maps to Orlando, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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