DR. REZA ARDEHALI (MD, PHD) – Internal Medicine Physician, NPI 1104005370
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,010 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CA
Provider Addresses for DR. REZA ARDEHALI (MD, PHD)
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
100 MEDICAL PLZ
630
LOS ANGELES, CA 900950001
Phone: (310) 825-9011
Fax: (310) 825-9012
Type: Location
100 Medical Plz
630
Los Angeles, CA 900950001
Phone: (310) 825-9011
Fax: (310) 825-9012
Type: Location
9981 S Healthpark Dr
Fort Myers, FL 339083618
Phone: (239) 343-5820
Fax: (239) 343-4098
Type: Location
7200 CAMBRIDGE ST FL 6
HOUSTON, TX 770304202
Phone: (713) 798-2545
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $107.
Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.
Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Abbott Laboratories ($86).
Total Amount
$107
General + Research + Ownership
Payments
2
Total payment records
General Amount
$107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $86 |
| Novartis Pharmaceuticals Corporation | $21 |
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: 2025-07-03
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 |
|---|---|---|---|---|
| I20230417002483 | I | Internal Medicine | TX | TBD |
| I20250703001188 | I | Cardiovascular Disease (Cardiology) | FL | 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 90045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AL | |
| Internal Medicine, Hospitalist | FL | |
| R H E U M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Critical Care (Intensivists), Pediatric Medicine | FL | |
| Neurology, Hospitalist | CA | |
| Nurse Practitioner | FL | |
| N E U R O L O G Y | OH | |
| N E U R O L O G Y | MO | |
| Physician Assistant | FL |
Reviews
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