SHADDIN TIRHI (PA-C) – Physician Assistant, NPI 1073095055
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
551 PHYSICIAN ASSISTANT in AK
Provider Addresses for SHADDIN TIRHI (PA-C)
550 W 7th Ave
Anchorage, AK 995013571
Phone: (907) 269-7300
Type: Location
7010 E Bogard Rd Bldg 2
Wasilla, AK 996544711
Phone: (907) 373-4732
Type: Location
11th Avenue Northeast, University District, Seattle, King County, Washington, 98105-6286, United States
SEATTLE, WA 981056367
Phone:
Type: Mailing
550, West 7th Avenue, South Addition, Anchorage, Alaska, 99501, United States
ANCHORAGE, AK 995013571
Phone: (907) 269-7300
Type: Location
1406 W 41ST AVE # A
ANCHORAGE, AK 995036408
Phone:
Type: Mailing
636 BARROW ST
ANCHORAGE, AK 995013631
Phone: (907) 276-1315
Fax: (907) 278-7129
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $189.
Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($150).
Total Amount
$189
General + Research + Ownership
Payments
3
Total payment records
General Amount
$189
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
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: 2025-01-09
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 |
|---|---|---|---|---|
| I20250109001872 | I | Physician Assistant | AK | 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 99501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AK | |
| D E R M A T O L O G Y | AE | |
| D E R M A T O L O G Y | PR |
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