KEIKHOSROW MOSALLAIE (DO) – Physical Medicine & Rehabilitation Physician, NPI 1306808993
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
245 PHYSICAL MEDICINE AND REHABILITATION in AZ
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Provider Addresses for KEIKHOSROW MOSALLAIE (DO)
1432, South Dobson Road, Mesa, Maricopa County, Arizona, 85202, United States
STE 201
MESA, AZ 85202
Phone: (602) 274-7600
Fax: (602) 274-7555
Type: Mailing
2610, North 3rd Street, Encanto, Phoenix, Maricopa County, Arizona, 85004, United States
STE B
PHOENIX, AZ 85004
Phone: (602) 274-7600
Fax: (602) 274-7555
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 63 Open Payments records for all available years, with a total value of $2,249.
Total Amount is formed as General ($2,249) + Research ($0) + Ownership ($0) = $2,249.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Abbott Laboratories ($1,166).
Total Amount
$2,249
General + Research + Ownership
Payments
63
Total payment records
General Amount
$2,249
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $1,166 |
| Boston Scientific Corporation | $898 |
| Nevro Corp. | $95 |
| Nalu Medical, Inc. | $37 |
| Relievant Medsystems, Inc. | $27 |
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: 2006-08-03
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 |
|---|---|---|---|---|
| I20060803000100 | I | Physical Medicine And Rehabilitation | AZ | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 756 | 131 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 610 | 298 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 314 | 209 | $0 |
| 64484 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 177 | 119 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 168 | 116 | $0 |
Insurance plans in this area (ZIP 85202)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Internal Medicine | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| - | PA | |
| - | AZ | |
| Vascular Surgery, General Surgery | AZ | |
| - | AZ | |
| General Surgery | CA | |
| General Surgery, Orthopedic Surgery | AZ |
Reviews
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