DR. REZA JARRAHY (MD, FACS, FAAP) – Plastic Surgery Physician, NPI 1407956816

DR. REZA JARRAHY (MD, FACS, FAAP) is a healthcare provider. based in Los angeles, California. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD, FACS, FAAP. They hold a License No. ME165899 (FL). The NPI Number for DR. REZA JARRAHY (MD, FACS, FAAP) is 1407956816

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. REZA JARRAHY (MD, FACS, FAAP)
NPI
1407956816
Phone
(310) 825-0065
Address
200 UCLA MEDICAL PLAZA
Enumeration Date
25 September 2006
Last Update Date
2 June 2026

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
7719984400
Group Practice PAC ID
2264422070
Professional Enrollment ID
I20061020000419
Address ID
CA900958344LO200XXPLZX400
Telehealth
Yes
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness85
Years active:19State licenses:3Digital endpointsOther names

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061020000419IPlastic And Reconstructive SurgeryCATBD
I20230201003431IPlastic And Reconstructive SurgeryNJTBD

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
15734Creation of muscle graft to trunk5114$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 90095)

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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: 2264422070View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryCA
Plastic And Reconstructive SurgeryNC
General Practice, Plastic And Reconstructive SurgeryCA
Plastic And Reconstructive SurgeryCA
Physical Medicine And RehabilitationCA
Plastic And Reconstructive SurgeryCA
Plastic And Reconstructive SurgeryCA
Plastic And Reconstructive SurgeryCA
Plastic And Reconstructive SurgeryCA
Plastic And Reconstructive SurgeryCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Can I verify DR. REZA JARRAHY (MD, FACS, FAAP) with an NPI only?
You can start verification with NPI 1407956816 for DR. REZA JARRAHY (MD, FACS, FAAP), then check state licensing separately.
Can I rely on DR. REZA JARRAHY (MD, FACS, FAAP) being an active provider?
As of the registry snapshot, DR. REZA JARRAHY (MD, FACS, FAAP) is marked active.
What taxonomy line describes DR. REZA JARRAHY (MD, FACS, FAAP)?
For research purposes, treat DR. REZA JARRAHY (MD, FACS, FAAP) as Plastic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. REZA JARRAHY (MD, FACS, FAAP)?
DR. REZA JARRAHY (MD, FACS, FAAP)'s geographic hint is Los Angeles, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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