VIDA FALAHATIAN – Public Health & General Preventive Medicine Physician, NPI 1104386200
Public Health & General Preventive Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
85 PREVENTIVE MEDICINE in FL
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Provider Addresses for VIDA FALAHATIAN
Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States
MIAMI, FL 331361005
Phone: (305) 585-1111
Type: Location
1611 NW 12th Ave
Miami, FL 331361005
Phone: (305) 585-1111
Type: Location
390 Birch Street
Morgantown, WV 26506
Phone: (304) 293-3693
Fax: (304) 293-2629
Type: Location
21044 FREDERICK RD
GERMANTOWN, MD 208764132
Phone: (240) 238-5432
Type: Location
390 BIRCH STREET
MORGANTOWN, WV 26506
Phone: (304) 293-3693
Fax: (304) 293-2629
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: 2023-08-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230830000080 | I | Preventive Medicine | DC | TBD |
| I20230830000145 | I | Preventive Medicine | MD | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 58 | 57 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 47 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 41 | 39 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 39 | 39 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 35 | 33 | $0 |
Insurance plans in this area (ZIP 33136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MD | |
| - | MD | |
| - | MD | |
| - | VA | |
| Nurse Practitioner | VA | |
| Family Practice | VA | |
| - | VA | |
| - | VA | |
| Emergency Medicine | MD | |
| Emergency Medicine | VA |
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