DR. ALIREZA ABIDI (M.D.) – Gynecologic Oncology Physician, NPI 1215919477

DR. ALIREZA ABIDI (M.D.) is a healthcare provider. based in Sacramento, California. specializing in GYNECOLOGICAL ONCOLOGY, OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. A90381 (CA). The NPI Number for DR. ALIREZA ABIDI (M.D.) is 1215919477

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALIREZA ABIDI (M.D.)
NPI
1215919477
Phone
(916) 734-6930
Address
4860 Y ST
Enumeration Date
15 November 2005
Last Update Date
18 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9512762760
Graduation Year
1997 (29 years ago)
PAC ID
5698704344
Group Practice PAC ID
6608819594
Professional Enrollment ID
I20050811001138
Address ID
CA925014006RI4500XAVEX303
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

181 GYNECOLOGICAL ONCOLOGY in CA

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Provider Addresses for DR. ALIREZA ABIDI (M.D.)

  • Lawrence J. Ellison Ambulatory Care Center, 4860, Y Street, Sacramento, Sacramento County, California, 95817, United States

    OB/GYN, SUITE 2500

    SACRAMENTO, CA 958172307

    Phone: (916) 734-6930

    Fax: (916) 734-6666

    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 4 Open Payments records for all available years, with a total value of $442.

Total Amount is formed as General ($442) + Research ($0) + Ownership ($0) = $442.

Last reported payment date: 2023-12-13 • Largest payer in this snapshot: Genmab U.S., Inc. ($200).

Total Amount

$442

General + Research + Ownership

Payments

4

Total payment records

General Amount

$442

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-13

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: 2005-08-11

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
I20050811001138IGynecological OncologyCATBD

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 95817)

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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: 6608819594View full group profile
NameSpecialtyState
Gynecological OncologyCA
Medical OncologyCA
Hematology/Oncology, Internal MedicineCA
Nurse PractitionerCA
Hematology/Oncology, Internal MedicineCA
H E M A T O L O G Y/ O N C O L O G YCA
Gynecological OncologyPA
Internal MedicineCA
H E M A T O L O G Y/ O N C O L O G YCA
H E M A T O L O G Y/ O N C O L O G YCA

Reviews

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Frequently asked questions

What federal number belongs to DR. ALIREZA ABIDI (M.D.)?
The federal identifier for DR. ALIREZA ABIDI (M.D.) is NPI 1215919477.
Is DR. ALIREZA ABIDI (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. ALIREZA ABIDI (M.D.) treat or focus on?
Patients typically see DR. ALIREZA ABIDI (M.D.) under the specialty Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ALIREZA ABIDI (M.D.)?
The page summarizes Sacramento, California for DR. ALIREZA ABIDI (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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