DR. KIAN RAISZADEH (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1013117183

DR. KIAN RAISZADEH (MD) is a healthcare provider. based in La jolla, California. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. A99221 (CA). The NPI Number for DR. KIAN RAISZADEH (MD) is 1013117183

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIAN RAISZADEH (MD)
NPI
1013117183
Phone
(201) 600-4903
Address
2725 RIDGEGATE ROW
Enumeration Date
18 July 2007
Last Update Date
13 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6197406000
Graduation Year
2002 (24 years ago)
PAC ID
2062594815
Group Practice PAC ID
9234388745
Professional Enrollment ID
I20080131000669
Address ID
CA919423019LA5555XDRXX400

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

3,024 ORTHOPEDIC SURGERY in CA

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Provider Addresses for DR. KIAN RAISZADEH (MD)

  • 2725, Ridgegate Row, Soledad South, San Diego, San Diego County, California, 92037, United States

    LA JOLLA, CA 920370915

    Phone: (201) 600-4903

    Mailing address matches the actual address.

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: 2008-01-31

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
I20080131000669IOrthopedic SurgeryCATBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6766$0
27236Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement2525$0
27245Treatment of broken neck of thigh bone with bone implant2020$0
View full utilization report →

Insurance plans in this area (ZIP 92037)

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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: 9234388745View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
-WA
O B S T E T R I C S/ G Y N E C O L O G YCA
Obstetrics/Gynecology, Family PracticeCA
O B S T E T R I C S/ G Y N E C O L O G YNC
O B S T E T R I C S/ G Y N E C O L O G YFL
-CA

Reviews

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Frequently asked questions

What federal number belongs to DR. KIAN RAISZADEH (MD)?
The federal identifier for DR. KIAN RAISZADEH (MD) is NPI 1013117183.
Does this profile mean DR. KIAN RAISZADEH (MD) is currently active?
Yes — DR. KIAN RAISZADEH (MD) appears active in the national provider directory.
What field does DR. KIAN RAISZADEH (MD) work in?
You can think of DR. KIAN RAISZADEH (MD) as practicing within Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Does DR. KIAN RAISZADEH (MD) practice in California?
You will see La Jolla, California on file for DR. KIAN RAISZADEH (MD) alongside any extra practice locations.
How can I contact DR. KIAN RAISZADEH (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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