REZA DEHDARI (M.D.) – Diagnostic Radiology Physician, NPI 1508024126

REZA DEHDARI (M.D.) is a healthcare provider. based in Tustin, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. A113848 (CA). The NPI Number for REZA DEHDARI (M.D.) is 1508024126

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
REZA DEHDARI (M.D.)
NPI
1508024126
Phone
(714) 456-7890
Address
2615 SAINT SIMONS
Enumeration Date
30 May 2008
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
8774062916
Graduation Year
2006 (20 years ago)
PAC ID
6800046137
Group Practice PAC ID
7012319163
Professional Enrollment ID
I20121023000634
Address ID
CA914031702VA4929XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for REZA DEHDARI (M.D.)

  • 2615, Saint Simons, Montecito of Tustin Ranch, Tustin Ranch, Tustin, Orange County, California, 92782, United States

    TUSTIN, CA 927821229

    Phone: (714) 456-7890

    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)

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: 2012-10-23

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
I20121023000634IDiagnostic RadiologyCATBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml14,036163$0
71045X-ray of chest, 1 view649525$0
A9576Injection, gadoteridol, (prohance multipack), per ml43530$0
71046X-ray of chest, 2 views289270$0
73562X-ray of knee, 3 views280186$0
View full utilization report →

Insurance plans in this area (ZIP 92782)

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Provider's Procedures

REZA DEHDARI (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA71250CT scan chest119114
DIAGNOSTIC RADIOLOGYCA73110X-ray of wrist, minimum of 3 views1615
DIAGNOSTIC RADIOLOGYCA73630X-ray of foot, minimum of 3 views3530
DIAGNOSTIC RADIOLOGYCA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle5137

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: 7012319163View full group profile
NameSpecialtyState
Interventional RadiologyCA
Interventional Radiology, Diagnostic RadiologyIL
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic Radiology, Interventional RadiologyCA
Diagnostic RadiologyCA
Vascular Surgery, Interventional RadiologyCA
Diagnostic RadiologyTX
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for REZA DEHDARI (M.D.)?
REZA DEHDARI (M.D.) — NPI 1508024126 — is the standard way to identify this listing.
Does CMS list REZA DEHDARI (M.D.) as active?
Yes — REZA DEHDARI (M.D.) is active in the NPI listing used on this page.
What is REZA DEHDARI (M.D.)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for REZA DEHDARI (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect REZA DEHDARI (M.D.) on a map?
Expect Tustin, California as a primary anchor for REZA DEHDARI (M.D.) unless the record lists multiple sites.
Why does REZA DEHDARI (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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