DR. BAHAR FAZELI (M.D.) – Anesthesiology Physician, NPI 1104038462

DR. BAHAR FAZELI (M.D.) is a healthcare provider. based in Los angeles, California. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. A105819 (CA). The NPI Number for DR. BAHAR FAZELI (M.D.) is 1104038462

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. BAHAR FAZELI (M.D.)
NPI
1104038462
Phone
(323) 442-7400
Address
1500 SAN PABLO ST
Enumeration Date
7 May 2007
Last Update Date
21 June 2012

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
9516771111
Graduation Year
2007 (19 years ago)
PAC ID
5698946333
Group Practice PAC ID
7012355423
Professional Enrollment ID
I20110929000108
Address ID
CA925959681WI36485DRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

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Provider Addresses for DR. BAHAR FAZELI (M.D.)

  • Keck Hospital of USC, 1500, San Pablo Street, Lincoln Heights, Los Angeles, Los Angeles County, California, 90033, United States

    LOS ANGELES, CA 900335313

    Phone: (323) 442-7400

    Fax: (323) 442-7411

    Type: Location

  • 1520, San Pablo Street, Boyle Heights, Los Angeles, Los Angeles County, California, 90033, United States

    SUITE 3451

    LOS ANGELES, CA 900335310

    Phone: (323) 442-7400

    Fax: (323) 442-7411

    Type: Mailing

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 $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Silk Road Medical, Inc. ($28).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2011-09-29

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
I20110929000108IAnesthesiologyCATBD

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
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1919$0
01402Anesthesia for procedure for total knee joint replacement1717$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
01214Anesthesia for total hip replacement1111$0
View full utilization report →

Insurance plans in this area (ZIP 90033)

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Provider's Procedures

DR. BAHAR FAZELI (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYCA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1313

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: 7012355423View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YLA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YPA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YTN
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

Can I cross-check DR. BAHAR FAZELI (M.D.) using NPI 1104038462?
NPI 1104038462 belongs to DR. BAHAR FAZELI (M.D.); compare other details if you need extra assurance.
Would DR. BAHAR FAZELI (M.D.) appear as active to a payer?
You can treat DR. BAHAR FAZELI (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. BAHAR FAZELI (M.D.)?
DR. BAHAR FAZELI (M.D.)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. BAHAR FAZELI (M.D.) located near Los Angeles?
DR. BAHAR FAZELI (M.D.) currently maps to Los Angeles, California in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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