DR. LADAN SHAHABI (MD) – Dermatology Physician, NPI 1093833709
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. LADAN SHAHABI (MD)
2001 Santa Monica Blvd Ste 1070
Santa Monica, CA 904042202
Phone: (310) 917-3376
Fax: (310) 582-6302
Type: Location
530 1st Ave
Ste 7H
New York, NY 100166402
Phone: (212) 263-7019
Type: Location
2020 Santa Monica Blvd Ste 510
Santa Monica, CA 904042131
Phone: (310) 917-3376
Fax: (310) 582-6302
Type: Location
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
8641 WILSHIRE BLVD STE 115
BEVERLY HILLS, CA 90211
Phone: (310) 855-7002
Fax: (310) 855-7003
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2023-12-19 • Largest payer in this snapshot: ABBVIE INC. ($70).
Total Amount
$122
General + Research + Ownership
Payments
4
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $70 |
| Incyte Corporation | $52 |
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: 2019-08-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090529000143 | I | Dermatology | NY | TBD |
| I20190828002885 | I | Dermatology | CA | 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 90404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Emergency Medicine, Family Practice | CA | |
| Medical Oncology, Hematology/Oncology | CA | |
| Hospitalist, Internal Medicine | MA | |
| A L L E R G Y/ I M M U N O L O G Y | CA | |
| Hospitalist, Internal Medicine | CA |
Reviews
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