DR. KASSRA - MICHAEL KHAZALPOUR (M.D.) – Emergency Medicine Physician, NPI 1093072787

DR. KASSRA - MICHAEL KHAZALPOUR (M.D.) is a healthcare provider. based in Vero beach, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. D81285 (MD). The NPI Number for DR. KASSRA - MICHAEL KHAZALPOUR (M.D.) is 1093072787

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. KASSRA - MICHAEL KHAZALPOUR (M.D.)
NPI
1093072787
Phone
(415) 279-0947
Address
1948 Ocean Ridge Cir
Enumeration Date
18 April 2012
Deactivation Date
27 January 2025
Reactivation Date
10 February 2025
Last Update Date
15 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2004 (22 years ago)
PAC ID
1456656982
Group Practice PAC ID
3678833951
Professional Enrollment ID
I20170209000616
Address ID
FL329604862VE1000XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:14State licenses:2Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for DR. KASSRA - MICHAEL KHAZALPOUR (M.D.)

  • 1948 Ocean Ridge Cir

    Vero Beach, FL 329632730

    Phone: (415) 279-0947

    Type: Location

  • PO BOX 64362

    BALTIMORE, MD 212644362

    Phone:

    Type: Mailing

  • 4940 EASTERN AVE

    BALTIMORE, MD 212242735

    Phone: (410) 550-0100

    Type: Location

  • 1948 OCEAN RIDGE CIR

    VERO BEACH, FL 329632730

    Phone: (415) 279-0947

    Type: Mailing

  • 1000 36TH ST

    VERO BEACH, FL 329604862

    Phone: (772) 567-4311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-02-15 • Largest payer in this snapshot: CSL Behring ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$20
View all Open Payments →|Open Payments Risk Radar →

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: 2017-02-09

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
I20170209000616IEmergency MedicineFLTBD

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
99285Emergency department visit with high level of medical decision making525506$0
99291Critical care, first 30-74 minutes152149$0
99284Emergency department visit with moderate level of medical decision making141137$0
99283Emergency department visit with low level of medical decision making2222$0
View full utilization report →

Insurance plans in this area (ZIP 32963)

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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: 3678833951View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KASSRA - MICHAEL KHAZALPOUR (M.D.)?
DR. KASSRA - MICHAEL KHAZALPOUR (M.D.) — NPI 1093072787 — is the standard way to identify this listing.
Is DR. KASSRA - MICHAEL KHAZALPOUR (M.D.) listed as active for patients and plans?
The listing shows DR. KASSRA - MICHAEL KHAZALPOUR (M.D.) as active in the NPI system.
What is DR. KASSRA - MICHAEL KHAZALPOUR (M.D.)'s specialty?
The listing groups DR. KASSRA - MICHAEL KHAZALPOUR (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. KASSRA - MICHAEL KHAZALPOUR (M.D.) list a practice location?
Patients near Vero Beach, Florida may find DR. KASSRA - MICHAEL KHAZALPOUR (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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