MAHTAB FOROUZANDEH (MD, MPH) – Dermatology Physician, NPI 1952924458
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Provider Addresses for MAHTAB FOROUZANDEH (MD, MPH)
3270 S TERRA MAR DR
POMPANO BEACH, FL 330626836
Phone: (502) 759-7691
Type: Mailing
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 333084668
Phone: (954) 771-8000
Type: Location
4425 PONCE DE LEON BLVD STE 200
CORAL GABLES, FL 331461871
Phone: (502) 759-7691
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $288.
Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Almirall LLC ($197).
Total Amount
$288
General + Research + Ownership
Payments
7
Total payment records
General Amount
$288
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Almirall LLC | $197 |
| ABBVIE INC. | $58 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $33 |
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: 2024-09-03
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 |
|---|---|---|---|---|
| I20240903000100 | I | Dermatology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | NY | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds), Pathology | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL |
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