AMIRREZA FALLAHI (DO) – Psychiatry Physician, NPI 1235766916

AMIRREZA FALLAHI (DO) is a healthcare provider. based in Bradley, Illinois. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. 036166275 (IL). The NPI Number for AMIRREZA FALLAHI (DO) is 1235766916

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
AMIRREZA FALLAHI (DO)
NPI
1235766916
Phone
(815) 937-1237
Address
400 S KENNEDY DR STE 300
Enumeration Date
24 March 2020
Last Update Date
16 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159330007
Graduation Year
2020 (6 years ago)
PAC ID
4082037429
Group Practice PAC ID
3274434717
Professional Enrollment ID
I20240611000485
Address ID
IL609152686BR400XXDRXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,367 PSYCHIATRY in IL

Provider Addresses for AMIRREZA FALLAHI (DO)

  • 400 S KENNEDY DR STE 300

    BRADLEY, IL 609152682

    Phone: (815) 937-1237

    Fax: (815) 933-0662

    Type: Mailing

  • 350 N Wall St

    Kankakee, IL 609012991

    Phone: (815) 937-1237

    Fax: (815) 933-0662

    Type: Location

  • 1906 BELLEVIEW AVE SE

    ROANOKE, VA 240141838

    Phone: (540) 981-7000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $355.

Total Amount is formed as General ($355) + Research ($0) + Ownership ($0) = $355.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($138).

Total Amount

$355

General + Research + Ownership

Payments

15

Total payment records

General Amount

$355

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240611000485IPsychiatryILTBD

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 60915)

Loading plans...

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: 3274434717View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O L O G YIL
Physician AssistantIL
-IL
-IL
-IL
Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
N E U R O L O G YNY

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for AMIRREZA FALLAHI (DO) in the U.S.?
In the U.S., AMIRREZA FALLAHI (DO) is identified by NPI 1235766916.
Is AMIRREZA FALLAHI (DO) currently accepting referrals based on NPI status?
Registry metadata lists AMIRREZA FALLAHI (DO) as active.
Which specialty label fits AMIRREZA FALLAHI (DO)?
NPPES ties AMIRREZA FALLAHI (DO) to Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to AMIRREZA FALLAHI (DO)?
AMIRREZA FALLAHI (DO) is associated with Bradley, Illinois in the same public data insurers reference.
Can I export AMIRREZA FALLAHI (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

Ardent Center

Mental Health Counselor
525 E North St Ste B
NPI: 1467691790

RAUNAK SUNIL KHISTY

Child & Adolescent Psychiatry Physician
400 N WALL ST STE B402
NPI: 1558620146

MAYURIKA NARAYAN PISE (MD)

Psychiatry Physician
400 N WALL ST STE B402
NPI: 1811383334
1601 Butterfield Trl
NPI: 1518340231
400 S KENNEDY DR STE 300
NPI: 1477074060

DR. KEVIN CHACKO VARGHESE (DO)

Psychiatry Physician
400 S KENNEDY DR STE 300
NPI: 1477181071

BAKHT SIDDIQUI (MD)

Student in an Organized Health Care Education/Training Program
400 S KENNEDY DR STE 300
NPI: 1386273365

PARMIS FATIH (MD)

Psychiatry Physician
400 S KENNEDY DR STE 300
NPI: 1407434129