HALEH AGDASSI (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1477664159

HALEH AGDASSI (M.D.) is a healthcare provider. based in Los altos, California. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. A62998 (CA). The NPI Number for HALEH AGDASSI (M.D.) is 1477664159

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
HALEH AGDASSI (M.D.)
NPI
1477664159
Phone
(650) 321-4121
Address
325 DISTEL CIR
Enumeration Date
31 August 2006
Last Update Date
4 March 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
4156001020
Graduation Year
1995 (31 years ago)
PAC ID
6507930609
Group Practice PAC ID
4284538778
Professional Enrollment ID
I20080807000530
Address ID
CA943012302PA795XXREAL400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,149 PHYSICAL MEDICINE AND REHABILITATION in CA

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Provider Addresses for HALEH AGDASSI (M.D.)

  • 325, Distel Circle, Los Altos, Santa Clara County, California, 94022, United States

    LOS ALTOS, CA 940221408

    Phone: (650) 321-4121

    Type: Mailing

  • 795, El Camino Real, Palo Alto, Santa Clara County, California, 94301, United States

    PALO ALTO, CA 943012302

    Phone: (650) 321-4121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-08-07

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
I20080807000530IPhysical Medicine And RehabilitationCATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes18491$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
20553Injection of trigger points, 3 or more muscles2912$0
20552Injection of trigger points, 1-2 muscles2418$0
99215Established patient office or other outpatient visit, 40-54 minutes2318$0
View full utilization report →

Insurance plans in this area (ZIP 94022)

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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: 4284538778View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
A L L E R G Y/ I M M U N O L O G YCA
-CA
Hospitalist, Obstetrics/GynecologyCA
O B S T E T R I C S/ G Y N E C O L O G YOR
-CA
-CA
-CA
-CA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for HALEH AGDASSI (M.D.)?
HALEH AGDASSI (M.D.) — NPI 1477664159 — is the standard way to identify this listing.
Is HALEH AGDASSI (M.D.) still practicing?
HALEH AGDASSI (M.D.) is currently listed as active in the public NPI registry.
What is HALEH AGDASSI (M.D.) best known for clinically?
Directory data describes HALEH AGDASSI (M.D.) with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What area does HALEH AGDASSI (M.D.) serve?
HALEH AGDASSI (M.D.)'s listing highlights Los Altos, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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