IBRAHIM RAEF HAJJALI (MD, MSC) – Clinical Pathology Physician, NPI 1891347738
Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,584 PATHOLOGY in CA
Provider Addresses for IBRAHIM RAEF HAJJALI (MD, MSC)
PO BOX 31309
LOS ANGELES, CA 900310309
Phone: (626) 457-6601
Type: Mailing
1441 EASTLAKE AVE STE 2424K
LOS ANGELES, CA 900891020
Phone: (626) 689-1931
Type: Location
3181 SW Sam Jackson Park Rd
Portland, OR 972393098
Phone: (503) 494-6776
Type: Location
2222 N Nevada Ave
Colorado Springs, CO 809076819
Phone: (719) 776-5816
Type: Location
1870 SECLUSION PT APT F
COLORADO SPRINGS, CO 809187970
Phone: (626) 689-1931
Type: Mailing
Penrose Hospital, 2222, North Nevada Avenue, Colorado Springs, El Paso County, Colorado, 80907, United States
COLORADO SPRINGS, CO 809076819
Phone: (719) 776-5816
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: 2023-10-12
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 |
|---|---|---|---|---|
| I20231012001542 | I | Pathology | 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 |
|---|---|---|---|---|
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 55 | 18 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 54 | 27 | $0 |
| 88360 | Microscopic genetic analysis of tumor, manual | 47 | 21 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 39 | 24 | $0 |
| 88189 | Flow cytometry technique for dna or cell analysis, 16 or more markers | 34 | 33 | $0 |
Insurance plans in this area (ZIP 90031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| U R O L O G Y | CA | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | CA | |
| - | CA | |
| - | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| General Surgery | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| - | CA |
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