SUSAN MATRA RABIZADEH (M.D.) – Dermatology Physician, NPI 1356396501

SUSAN MATRA RABIZADEH (M.D.) is a healthcare provider. based in Los angeles, California. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. A103599 (CA). The NPI Number for SUSAN MATRA RABIZADEH (M.D.) is 1356396501

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN MATRA RABIZADEH (M.D.)
NPI
1356396501
Phone
Not provided
Address
PO BOX 54679
Enumeration Date
24 May 2006
Last Update Date
13 August 2014

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3103853200
Graduation Year
2002 (24 years ago)
PAC ID
5496768202
Group Practice PAC ID
0941106645
Professional Enrollment ID
I20080801000405
Address ID
CA902112285BE99XXXBLVD504
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for SUSAN MATRA RABIZADEH (M.D.)

  • Box, Lago del Salado, Los Angeles, San Nicolás de los Garza, Nuevo León, 66477, Mexico

    LOS ANGELES, CA 900540679

    Phone:

    Type: Mailing

  • 200, North Robertson Boulevard, Beverly Grove, Beverly Hills, Los Angeles County, California, 90211, United States

    #202

    BEVERLY HILLS, CA 902111769

    Phone: (310) 385-3300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $957.

Total Amount is formed as General ($957) + Research ($0) + Ownership ($0) = $957.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($524).

Total Amount

$957

General + Research + Ownership

Payments

39

Total payment records

General Amount

$957

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2008-08-01

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
I20080801000405IDermatologyCATBD

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
17003Destruction of precancer skin growth, 2-14 growths1,074148$0
99213Established patient office or other outpatient visit, 20-29 minutes349251$0
17000Destruction of precancer skin growth, 1 growth278189$0
99214Established patient office or other outpatient visit, 30-39 minutes215145$0
17110Destruction of skin growth, 1-14 growths179140$0
View full utilization report →

Insurance plans in this area (ZIP 90054)

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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: 0941106645View full group profile
NameSpecialtyState
P A T H O L O G YNY
A N E S T H E S I O L O G YNV
-CA
-CA
-CA
H O S P I T A L I S TCA
Infectious DiseaseCA
Plastic And Reconstructive SurgeryCA
Physical Therapist In Private PracticeCA
Hospitalist, Internal MedicineCA

Reviews

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Frequently asked questions

What is the standard ID for SUSAN MATRA RABIZADEH (M.D.) in the U.S.?
In the U.S., SUSAN MATRA RABIZADEH (M.D.) is identified by NPI 1356396501.
Quick check: is SUSAN MATRA RABIZADEH (M.D.) active?
Public NPPES data shows SUSAN MATRA RABIZADEH (M.D.) with an active NPI status right now.
What does the directory say SUSAN MATRA RABIZADEH (M.D.) does?
Insurance directories may phrase it differently, but here SUSAN MATRA RABIZADEH (M.D.) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SUSAN MATRA RABIZADEH (M.D.)?
The directory associates SUSAN MATRA RABIZADEH (M.D.) with Los Angeles, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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