DR. ALI ESMAILI (MD) – Diagnostic Radiology Physician, NPI 1114184074

DR. ALI ESMAILI (MD) is a healthcare provider. based in Azusa, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. A111261 (CA). The NPI Number for DR. ALI ESMAILI (MD) is 1114184074

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALI ESMAILI (MD)
NPI
1114184074
Phone
(805) 236-6623
Address
927 N LANTANA WAY
Enumeration Date
19 May 2008
Last Update Date
13 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5595840210
Graduation Year
2005 (21 years ago)
PAC ID
8325229354
Group Practice PAC ID
3476466376
Professional Enrollment ID
I20110224000337
Address ID
CA932303585HA457XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,793 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for DR. ALI ESMAILI (MD)

  • 927 N LANTANA WAY

    AZUSA, CA 917021571

    Phone: (805) 236-6623

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-02-24

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
I20110224000337IDiagnostic RadiologyCATBD

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
A9575Injection, gadoterate meglumine, 0.1 ml11,35058$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,33014$0
77067Screening mammography1,0951,094$0
77063Screening 3d breast mammography943942$0
77080Dxa bone density measurement of hip, pelvis, spine226226$0
View full utilization report →

Insurance plans in this area (ZIP 91702)

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Provider's Procedures

DR. ALI ESMAILI (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA73630X-ray of foot, minimum of 3 views8267

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: 3476466376View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
-CA
Diagnostic RadiologyCA
Diagnostic RadiologyTX
Diagnostic RadiologyWA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

How is DR. ALI ESMAILI (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. ALI ESMAILI (MD) with NPI 1114184074.
Is DR. ALI ESMAILI (MD) listed as active for patients and plans?
The listing shows DR. ALI ESMAILI (MD) as active in the NPI system.
What taxonomy line describes DR. ALI ESMAILI (MD)?
For research purposes, treat DR. ALI ESMAILI (MD) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ALI ESMAILI (MD)?
DR. ALI ESMAILI (MD)'s geographic hint is Azusa, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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