DR. GOLTA RASOULI (M.D.) – Phlebology Physician, NPI 1154765667
Phlebology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
Provider Addresses for DR. GOLTA RASOULI (M.D.)
1576 BELLA CRUZ DR UNIT 264
THE VILLAGES, FL 321598969
Phone: (646) 647-0411
Type: Mailing
1050 OLD CAMP RD STE 150
THE VILLAGES, FL 321621723
Phone: (646) 647-0411
Fax: (817) 984-3970
Type: Location
395 COMMERCIAL CT STE C
VENICE, FL 342921651
Phone: (941) 529-0070
Fax: (941) 529-0539
Type: Location
2389 E VENICE AVE UNIT 510
VENICE, FL 342922465
Phone: (941) 529-0070
Fax: (941) 529-0539
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $587.
Total Amount is formed as General ($587) + Research ($0) + Ownership ($0) = $587.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($252).
Total Amount
$587
General + Research + Ownership
Payments
22
Total payment records
General Amount
$587
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| REVANCE THERAPEUTICS, INC. | $252 |
| Organogenesis Inc. | $180 |
| Biofrontera Inc. | $66 |
| Boston Scientific Corporation | $31 |
| Next Science LLC | $22 |
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: 2020-08-11
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 |
|---|---|---|---|---|
| I20200811002659 | I | Internal Medicine | FL | 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 | 218 | 49 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 152 | 85 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 118 | 108 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 118 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 104 | 95 | $0 |
Insurance plans in this area (ZIP 32159)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | FL | |
| D E R M A T O L O G Y | FL |
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