DR. ALI MAHTABIFARD (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1801872593
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
489 THORACIC SURGERY in CA
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Provider Addresses for DR. ALI MAHTABIFARD (MD)
West Medical Office Tower, 8635, West 3rd Street, Beverly Grove, Los Angeles, Los Angeles County, California, 90211, United States
SUITE 975W
LOS ANGELES, CA 900486101
Phone: (310) 652-0530
Fax: (310) 652-9936
Type: Location
8635 W 3rd St
Suite 975W
Los Angeles, CA 900486101
Phone: (310) 652-0530
Fax: (310) 652-9936
Type: Location
200 S MANCHESTER AVE STE 300
ORANGE, CA 928683219
Phone: (714) 456-2986
Type: Mailing
101 THE CITY DR S BLDG 29
ORANGE, CA 928683201
Phone: (714) 880-7812
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 $1,785.
Total Amount is formed as General ($1,785) + Research ($0) + Ownership ($0) = $1,785.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,050).
Total Amount
$1,785
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,785
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $1,050 |
| LeMaitre Vascular, Inc. | $296 |
| FUJIFILM Healthcare Americas Corporation | $219 |
| Medtronic, Inc. | $199 |
| Intuitive Surgical, Inc. | $21 |
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: 2007-06-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070605000533 | I | Thoracic Surgery | CA | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 28 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 19 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 23 | 17 | $0 |
| 31622 | Diagnostic exam of lung airway using an endoscope | 17 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 90048)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NC | |
| Physician Assistant | PA | |
| General Surgery | CA | |
| Physician Assistant | CA | |
| Surgical Oncology | MA | |
| Physician Assistant | FL | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| General Surgery, Vascular Surgery | CA |
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