DR. SHAHNOOS MAHDAVI (M.D.) – Internal Medicine Physician, NPI 1013163294

DR. SHAHNOOS MAHDAVI (M.D.) is a healthcare provider. based in Irvine, California. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. A118927 (CA). The NPI Number for DR. SHAHNOOS MAHDAVI (M.D.) is 1013163294

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAHNOOS MAHDAVI (M.D.)
NPI
1013163294
Phone
(855) 206-6764
Address
11 TECHNOLOGY DR
Enumeration Date
7 August 2008
Last Update Date
23 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5625946599
Graduation Year
2000 (26 years ago)
PAC ID
8820157845
Group Practice PAC ID
9931143799
Professional Enrollment ID
I20130306000152
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for DR. SHAHNOOS MAHDAVI (M.D.)

  • 11, Technology Drive, Irvine Spectrum, Irvine, Orange County, California, 92618, United States

    IRVINE, CA 926182302

    Phone: (855) 206-6764

    Fax: (949) 923-3575

    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)

CMS reports 8 Open Payments records for all available years, with a total value of $419.

Total Amount is formed as General ($419) + Research ($0) + Ownership ($0) = $419.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Abbott Laboratories ($164).

Total Amount

$419

General + Research + Ownership

Payments

8

Total payment records

General Amount

$419

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2013-03-06

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
I20130306000152IInternal MedicineCATBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 92618)

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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: 9931143799View full group profile
NameSpecialtyState
-CA
Internal MedicineNV
Osteopathic Manipulative Medicine, Family Practice, General PracticeCA
Family PracticeNV
Family PracticeNV
Internal MedicineCO
-CA
Internal MedicineCA
Physician AssistantNV
-CA

Reviews

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Frequently asked questions

How do I look up DR. SHAHNOOS MAHDAVI (M.D.) by NPI?
Use NPI 1013163294 when you need to reference DR. SHAHNOOS MAHDAVI (M.D.) in forms, claims, or directories.
Is DR. SHAHNOOS MAHDAVI (M.D.) currently active in the NPI registry?
CMS-published data lists DR. SHAHNOOS MAHDAVI (M.D.) as an active registrant.
Does DR. SHAHNOOS MAHDAVI (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. SHAHNOOS MAHDAVI (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. SHAHNOOS MAHDAVI (M.D.)?
We surface Irvine, California for DR. SHAHNOOS MAHDAVI (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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