DR. PARVEZ MEHBOOB FATTEH (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1194774075

DR. PARVEZ MEHBOOB FATTEH (M.D.) is a healthcare provider. based in Pleasanton, California. specializing in PAIN MANAGEMENT, PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. A66560 (CA). The NPI Number for DR. PARVEZ MEHBOOB FATTEH (M.D.) is 1194774075

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. PARVEZ MEHBOOB FATTEH (M.D.)
NPI
1194774075
Phone
(925) 730-0202
Address
5720 STONERIDGE MALL RD STE 250
Enumeration Date
9 May 2006
Last Update Date
5 October 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
5105339970
Graduation Year
1994 (32 years ago)
PAC ID
6507836228
Group Practice PAC ID
0547499865
Professional Enrollment ID
I20040730000460
Address ID
CA946191839OA3145XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

928 PAIN MANAGEMENT in CA

Provider Addresses for DR. PARVEZ MEHBOOB FATTEH (M.D.)

  • 5720 STONERIDGE MALL RD STE 250

    PLEASANTON, CA 945882879

    Phone: (925) 730-0202

    Fax: (925) 730-0222

    Type: Mailing

  • 1037 DEER CREEK CT

    PLEASANTON, CA 945663446

    Phone: (510) 427-4268

    Fax: (510) 319-8775

    Type: Mailing

  • 2033 GATEWAY PL

    5TH FL OFFICE 647

    SAN JOSE, CA 951103709

    Phone: (408) 539-5652

    Fax: (559) 546-4823

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-02-06 • Largest payer in this snapshot: ABBVIE INC. ($100).

Total Amount

$100

General + Research + Ownership

Payments

4

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$100
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: 2004-07-30

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
I20040730000460IPhysical Medicine And RehabilitationCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94588)

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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: 0547499865View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerMO
Physical Medicine And RehabilitationMI
Nurse PractitionerIL
Physical Medicine And RehabilitationIL
Nurse PractitionerCA
Physical Medicine And RehabilitationNJ
Physical Medicine And RehabilitationNY
Nurse PractitionerIL
Physical Medicine And RehabilitationVT

Reviews

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Frequently asked questions

What is the standard ID for DR. PARVEZ MEHBOOB FATTEH (M.D.) in the U.S.?
In the U.S., DR. PARVEZ MEHBOOB FATTEH (M.D.) is identified by NPI 1194774075.
Is DR. PARVEZ MEHBOOB FATTEH (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. PARVEZ MEHBOOB FATTEH (M.D.) as active.
What services align with DR. PARVEZ MEHBOOB FATTEH (M.D.)'s listing?
DR. PARVEZ MEHBOOB FATTEH (M.D.)'s public classification highlights Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. PARVEZ MEHBOOB FATTEH (M.D.)?
DR. PARVEZ MEHBOOB FATTEH (M.D.) shows a connection to Pleasanton, California in registry-derived data.
Who maintains DR. PARVEZ MEHBOOB FATTEH (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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