DR. ALIREZA GHEZAVATI (MD) – Anatomic Pathology Physician, NPI 1285295741

DR. ALIREZA GHEZAVATI (MD) is a healthcare provider. based in Sacramento, California. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 53217 (AL). The NPI Number for DR. ALIREZA GHEZAVATI (MD) is 1285295741

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALIREZA GHEZAVATI (MD)
NPI
1285295741
Phone
(408) 601-8315
Address
4400 V St
Enumeration Date
25 June 2019
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4058422061
Graduation Year
2004 (22 years ago)
PAC ID
3173068186
Group Practice PAC ID
8224941547
Professional Enrollment ID
I20251023002195
Address ID
OK731124418OK3300XEXPR300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:6State licenses:2Digital endpointsOther names

1,584 PATHOLOGY in CA

Provider Addresses for DR. ALIREZA GHEZAVATI (MD)

  • 4400 V St

    Sacramento, CA 958171445

    Phone: (408) 601-8315

    Type: Location

  • 2810 BABCOCK RD APT 1355

    SAN ANTONIO, TX 782290029

    Phone: (408) 601-8315

    Type: Mailing

  • 7703 FLOYD CURL DRIVE MC 7750

    DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE

    SAN ANTONIO, TX 78229

    Phone: (210) 567-4115

    Fax: (210) 567-2367

    Type: Location

  • PO BOX 55310

    BIRMINGHAM, AL 352555310

    Phone:

    Type: Mailing

  • 619 19TH ST S

    BIRMINGHAM, AL 352331900

    Phone: (205) 934-4011

    Type: Location

  • 4400 V ST

    SACRAMENTO, CA 958171445

    Phone: (916) 734-2873

    Type: Mailing

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: 2025-10-23

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
I20251023002195IPathologyOKTBD

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: 8224941547View full group profile
NameSpecialtyState
P A T H O L O G YTX
P A T H O L O G YTX
-TX
P A T H O L O G YOK
P A T H O L O G YTX
P A T H O L O G YOK
P A T H O L O G YNE
-TX
P A T H O L O G YTX
-DC

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ALIREZA GHEZAVATI (MD)?
NPI 1285295741 is assigned to DR. ALIREZA GHEZAVATI (MD) under the national enumeration system.
Is DR. ALIREZA GHEZAVATI (MD) currently active in the NPI registry?
CMS-published data lists DR. ALIREZA GHEZAVATI (MD) as an active registrant.
Does DR. ALIREZA GHEZAVATI (MD) list a primary specialty?
If you are matching referrals, note Anatomic Pathology Physician for DR. ALIREZA GHEZAVATI (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. ALIREZA GHEZAVATI (MD)?
We surface Sacramento, California for DR. ALIREZA GHEZAVATI (MD) based on available NPPES addresses.
How can I contact DR. ALIREZA GHEZAVATI (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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