PEDRAM ZENDEHROUH (MD) – Surgery Physician, NPI 1679641708
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,166 GENERAL SURGERY in FL
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Provider Addresses for PEDRAM ZENDEHROUH (MD)
Parrish Medical Center, 951, North Washington Avenue, Titusville, Brevard County, Florida, 32796, United States
PARRISH WOUND HEALING CENTER
TITUSVILLE, FL 327962163
Phone: (321) 268-6795
Type: Location
Kelly Service, 5220, Belfort Road, Jacksonville, Duval County, Florida, 32256, United States
SUITE 130
JACKSONVILLE, FL 322566017
Phone: (904) 446-3451
Fax: (904) 446-3013
Type: Mailing
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: 2023-10-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20150220001329 | I | General Surgery | FL | TBD |
| I20230418001702 | I | General Surgery | TN | TBD |
| I20230419000505 | I | General Surgery | AR | TBD |
| I20231004003519 | I | Critical Care (Intensivists) | KY | TBD |
| I20231023002464 | I | General Surgery | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32796)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | FL | 11042 | Removal of skin and tissue first 20 sq cm or less | 246 | 43 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| General Surgery | FL | |
| Emergency Medicine | FL | |
| - | FL | |
| - | FL | |
| Cardiac Surgery, Thoracic Surgery, Cardiovascular Disease (Cardiology) | FL | |
| General Surgery | FL | |
| - | FL | |
| General Surgery | FL | |
| - | FL |
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