ALI GHEISSARI (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1376545269

ALI GHEISSARI (M.D.) is a healthcare provider. based in Los angeles, California. specializing in THORACIC SURGERY. They hold the professional credentials M.D.. They hold a License No. G72926 (CA). The NPI Number for ALI GHEISSARI (M.D.) is 1376545269

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
ALI GHEISSARI (M.D.)
NPI
1376545269
Phone
(213) 483-1055
Address
1245 WILSHIRE BLVD
Enumeration Date
11 August 2005
Last Update Date
10 February 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
2134822770
Graduation Year
1983 (43 years ago)
PAC ID
3173436672
Group Practice PAC ID
8426951328
Professional Enrollment ID
I20031114000593
Address ID
CA900174810LO1245XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

489 THORACIC SURGERY in CA

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Provider Addresses for ALI GHEISSARI (M.D.)

  • Wilshire Boulevard, Financial District, Downtown, Los Angeles, Los Angeles County, California, 90025, United States

    SUITE 606

    LOS ANGELES, CA 900174810

    Phone: (213) 483-1055

    Fax: (213) 483-1418

    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 57 Open Payments records for all available years, with a total value of $3,826.

Total Amount is formed as General ($3,826) + Research ($0) + Ownership ($0) = $3,826.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($946).

Total Amount

$3,826

General + Research + Ownership

Payments

57

Total payment records

General Amount

$3,826

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2003-11-14

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
I20031114000593IThoracic SurgeryCATBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4645$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
33361Replacement of aortic valve through the skin and femoral artery2323$0
99291Critical care, first 30-74 minutes2211$0
99214Established patient office or other outpatient visit, 30-39 minutes2219$0
View full utilization report →

Insurance plans in this area (ZIP 90017)

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Provider's Procedures

ALI GHEISSARI (M.D.) performs procedures in THORACIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
THORACIC SURGERYCA33405Replacement of left lower heart chamber valve using artificial valve on heart-lung machine1818
THORACIC SURGERYCA33518Combined multiple vein and artery heart artery bypasses1818
THORACIC SURGERYCA33533Heart artery bypass to repair one artery4141
THORACIC SURGERYCA71010X-ray of chest, 1 view, front372122

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: 8426951328View full group profile

Reviews

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Frequently asked questions

What is the standard ID for ALI GHEISSARI (M.D.) in the U.S.?
In the U.S., ALI GHEISSARI (M.D.) is identified by NPI 1376545269.
Should I treat ALI GHEISSARI (M.D.) as an active provider?
Patients and plans typically see ALI GHEISSARI (M.D.) as active in the national extract.
What does the directory say ALI GHEISSARI (M.D.) does?
Insurance directories may phrase it differently, but here ALI GHEISSARI (M.D.) maps to Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Can patients visit ALI GHEISSARI (M.D.) in Los Angeles, California?
For routing, start with Los Angeles, California for ALI GHEISSARI (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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