DR. KAVEH GHAEDI (D.O.) – Psychiatry Physician, NPI 1235576224

DR. KAVEH GHAEDI (D.O.) is a healthcare provider. based in Clearwater, Florida. specializing in Psychiatry Physician. They hold the professional credentials D.O.. They hold a License No. 1014959 (MA). The NPI Number for DR. KAVEH GHAEDI (D.O.) is 1235576224

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAVEH GHAEDI (D.O.)
NPI
1235576224
Phone
(727) 541-2646
Address
11300 US 19 N
Enumeration Date
30 May 2013
Last Update Date
18 June 2024

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
2032271251
Graduation Year
2012 (14 years ago)
PAC ID
5395768584
Group Practice PAC ID
6204977218
Professional Enrollment ID
I20200410001042
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for DR. KAVEH GHAEDI (D.O.)

  • 11300 US 19 N

    CLEARWATER, FL 337647451

    Phone: (727) 541-2646

    Fax: (727) 541-4402

    Type: Mailing

  • 5321 1ST AVE S

    ST PETERSBURG, FL 337076101

    Phone: (707) 932-5616

    Type: Mailing

  • 101 ARCH ST FL 8

    BOSTON, MA 021107500

    Phone: (707) 932-5616

    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: 2023-10-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181109001037IPsychiatryFLTBD
I20231026001571IPsychiatryMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33764)

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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: 6204977218View full group profile

Reviews

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Frequently asked questions

Does DR. KAVEH GHAEDI (D.O.) have a public NPI I can cite?
Public records show DR. KAVEH GHAEDI (D.O.) under NPI 1235576224.
Is DR. KAVEH GHAEDI (D.O.)'s NPI status active today?
Active status means DR. KAVEH GHAEDI (D.O.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. KAVEH GHAEDI (D.O.)'s specialty?
The extract shows Psychiatry Physician for DR. KAVEH GHAEDI (D.O.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. KAVEH GHAEDI (D.O.)?
The directory associates DR. KAVEH GHAEDI (D.O.) with Clearwater, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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