ALI MEHDIZADEH (MD) – Critical Care Medicine (Anesthesiology) Physician, NPI 1114151719

ALI MEHDIZADEH (MD) is a healthcare provider. based in Loma linda, California. specializing in ANESTHESIOLOGY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. A113137 (CA). The NPI Number for ALI MEHDIZADEH (MD) is 1114151719

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
ALI MEHDIZADEH (MD)
NPI
1114151719
Phone
(909) 558-8131
Address
11234 ANDERSON ST
Enumeration Date
11 May 2009
Last Update Date
17 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9095584000
Graduation Year
2009 (17 years ago)
PAC ID
8224200589
Group Practice PAC ID
1153227814
Professional Enrollment ID
I20111010000122
Address ID
CA925631401MU28062RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

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Provider Addresses for ALI MEHDIZADEH (MD)

  • Loma Linda University Medical Center, 11234, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States

    HOUSE STAFF OFFICE CP 21005

    LOMA LINDA, CA 923452804

    Phone: (909) 558-8131

    Fax: (909) 558-0430

    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 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-06-14 • Largest payer in this snapshot: Novo Nordisk Inc ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$15
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: 2011-10-10

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
I20111010000122IAnesthesiologyCATBD

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
17250Application of chemical to stop tissue regrowth in wound1,388105$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes969104$0
11042Removal of skin and tissue, 20.0 sq cm or less65983$0
99291Critical care, first 30-74 minutes194180$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less17328$0
View full utilization report →

Insurance plans in this area (ZIP 92345)

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Provider's Procedures

ALI MEHDIZADEH (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYCA11042Removal of skin and tissue first 20 sq cm or less65367

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: 1153227814View full group profile
NameSpecialtyState
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA
Certified Registered Nurse Anesthetist (Crna)CA
Critical Care (Intensivists), General SurgeryCA
Surgical Oncology, General SurgeryIL
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Can I use this page to confirm ALI MEHDIZADEH (MD)'s NPI?
Yes. ALI MEHDIZADEH (MD) is listed with NPI 1114151719 in the public NPI dataset.
Is ALI MEHDIZADEH (MD) listed as active for patients and plans?
The listing shows ALI MEHDIZADEH (MD) as active in the NPI system.
What is ALI MEHDIZADEH (MD)'s primary classification?
Critical Care Medicine (Anesthesiology) Physician is the headline specialty for ALI MEHDIZADEH (MD) here. Clinical services aligned with this taxonomy classification.
Does ALI MEHDIZADEH (MD) list a practice location?
Patients near Loma Linda, California may find ALI MEHDIZADEH (MD) in results; validate coverage separately.
Why does ALI MEHDIZADEH (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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