ROYA BROOKE MIRHOSSAINI – Dermatology Physician, NPI 1356979181
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for ROYA BROOKE MIRHOSSAINI
4445 Magnolia Ave
Riverside, CA 925014199
Phone: (951) 788-3536
Type: Location
2060 BRIARGATE PKWY STE 150
COLORADO SPRINGS, CO 809207660
Phone: (719) 471-1763
Fax: (719) 471-2498
Type: Mailing
4445 MAGNOLIA AVE
RIVERSIDE, CA 925014199
Phone: (951) 788-3536
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $1,603.
Total Amount is formed as General ($1,603) + Research ($0) + Ownership ($0) = $1,603.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($509).
Total Amount
$1,603
General + Research + Ownership
Payments
22
Total payment records
General Amount
$1,603
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $509 |
| GENZYME CORPORATION | $406 |
| Incyte Corporation | $282 |
| Galderma Laboratories, L.P. | $236 |
| Lilly USA, LLC | $54 |
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: 2024-08-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240801001024 | I | Dermatology | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92501)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| P A T H O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | IA | |
| D E R M A T O L O G Y | CO | |
| Micrographic Dermatologic Surgery (Mds) | CO | |
| D E R M A T O L O G Y | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.