DR. REZA JARRAHY (MD, FACS, FAAP) – Plastic Surgery Physician, NPI 1407956816
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
245 PLASTIC AND RECONSTRUCTIVE SURGERY in NJ
Provider Addresses for DR. REZA JARRAHY (MD, FACS, FAAP)
200 UCLA MEDICAL PLAZA
SUITE 465
LOS ANGELES, CA 90095
Phone: (310) 825-0065
Fax: (310) 794-7933
Type: Mailing
535 Sycamore Ave
Shrewsbury, NJ 077024224
Phone: (908) 213-5065
Fax: (848) 800-4801
Type: Location
200 SCHULZ DR
RED BANK, NJ 077016776
Phone: (732) 426-3420
Fax: (848) 800-4801
Type: Mailing
200 SCHULZ DR STE 200
RED BANK, NJ 077016745
Phone: (732) 426-3420
Fax: (848) 800-4801
Type: Mailing
Peter Morton Medical Building, 200, Medical Plaza Driveway, Westwood, Los Angeles, Los Angeles County, California, 90095, United States
#465
LOS ANGELES, CA 900950001
Phone: (310) 825-0065
Fax: (310) 794-7933
Type: Location
331 Newman Springs Road
Building 2, Suite 200
Red Bank, NJ 07701
Phone: (732) 426-3420
Fax: (732) 242-7681
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,924.
Total Amount is formed as General ($1,924) + Research ($0) + Ownership ($0) = $1,924.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: AXOGEN ($952).
Total Amount
$1,924
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,924
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AXOGEN | $952 |
| KLS-Martin L.P. | $595 |
| Biocomposites Inc | $167 |
| Dilon Technologies, Inc. | $163 |
| Mentor Worldwide LLC | $48 |
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: 2023-02-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20061020000419 | I | Plastic And Reconstructive Surgery | CA | TBD |
| I20230201003431 | I | Plastic And Reconstructive Surgery | NJ | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 15734 | Creation of muscle graft to trunk | 51 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 90095)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | NC | |
| General Practice, Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Physical Medicine And Rehabilitation | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA |
Reviews
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