MONA SHAHRIARI – Dermatology Physician, NPI 1790075752
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 DERMATOLOGY in CT
Provider Addresses for MONA SHAHRIARI
30 Knotter Drive
Southington, CT 06489
Phone: (860) 400-2000
Fax: (860) 400-3000
Type: Location
340 Buckland Rd Fl 2
South Windsor, CT 060743725
Phone: (860) 322-2222
Fax: (860) 322-6838
Type: Location
1 WILLOWBROOK RD STE 2
CROMWELL, CT 064161745
Phone: (860) 322-2222
Fax: (860) 322-6838
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 848 Open Payments records for all available years, with a total value of $1,068,269.
Total Amount is formed as General ($1,068,269) + Research ($0) + Ownership ($0) = $1,068,269.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($244,870).
Total Amount
$1,068,269
General + Research + Ownership
Payments
848
Total payment records
General Amount
$1,068,269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $244,870 |
| Lilly USA, LLC | $157,061 |
| Janssen Biotech, Inc. | $129,863 |
| E.R. Squibb & Sons, L.L.C. | $126,902 |
| Dermavant Sciences, Inc. | $62,614 |
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: 2015-12-30
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 |
|---|---|---|---|---|
| I20151230000712 | I | Dermatology | CT | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 543 | 99 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 236 | 134 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 203 | 157 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 163 | 123 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 87 | 73 | $0 |
Insurance plans in this area (ZIP 06489)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | MD | |
| D E R M A T O L O G Y | CT | |
| Micrographic Dermatologic Surgery (Mds) | CT | |
| Nurse Practitioner | CT | |
| D E R M A T O L O G Y | CT | |
| Nurse Practitioner | CT | |
| Micrographic Dermatologic Surgery (Mds) | CT | |
| Physician Assistant | CT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.