SAM A EBRAHIMI (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1114916376
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
675 VASCULAR SURGERY in CA
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Provider Addresses for SAM A EBRAHIMI (MD)
18375, Ventura Boulevard, Tarzana Safari Walk, Tarzana, Los Angeles, Los Angeles County, California, 91356, United States
SUITE# 404
TARZANA, CA 913564218
Phone: (301) 537-7751
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 15 Open Payments records for all available years, with a total value of $48,446.
Total Amount is formed as General ($48,446) + Research ($0) + Ownership ($0) = $48,446.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($48,000).
Total Amount
$48,446
General + Research + Ownership
Payments
15
Total payment records
General Amount
$48,446
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AngioDynamics, Inc. | $48,000 |
| Boston Scientific Corporation | $446 |
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: 2010-07-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100716000509 | I | Vascular Surgery | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 885 | 801 | $0 |
| 36482 | Chemical destruction of first incompetent vein of arm or leg using imaging guidance | 751 | 451 | $0 |
| 36475 | Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 679 | 387 | $0 |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 598 | 351 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 462 | 413 | $0 |
Insurance plans in this area (ZIP 91356)
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