NAVID POURTAHERI (M.D., PH.D) – Plastic Surgery Physician, NPI 1942543681

NAVID POURTAHERI (M.D., PH.D) is a healthcare provider. based in Indianapolis, Indiana. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D., PH.D. They hold a License No. 01083848A (IN). The NPI Number for NAVID POURTAHERI (M.D., PH.D) is 1942543681

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
NAVID POURTAHERI (M.D., PH.D)
NPI
1942543681
Phone
(317) 944-3636
Address
545 Barnhill Dr Ste 232
Enumeration Date
1 April 2013
Last Update Date
6 April 2021

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2093398921
Graduation Year
2013 (13 years ago)
PAC ID
4880834555
Professional Enrollment ID
I20210519000557
Address ID
CA954054833SA1111XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:13State licenses:3Digital endpointsOther names

126 PLASTIC AND RECONSTRUCTIVE SURGERY in IN

Provider Addresses for NAVID POURTAHERI (M.D., PH.D)

  • 545 Barnhill Dr Ste 232

    Indianapolis, IN 462025112

    Phone: (317) 944-3636

    Fax: (317) 968-1371

    Type: Location

  • 1165 Montgomery Dr

    Santa Rosa, CA 954054897

    Phone: (707) 525-5300

    Type: Location

  • 167 Lynch Creek Way

    Petaluma, CA 949542343

    Phone: (707) 324-3241

    Fax: (707) 324-3241

    Type: Location

  • 1101 Van Ness Ave

    San Francisco, CA 941096919

    Phone: (415) 684-8607

    Type: Location

  • 545 BARNHILL DR STE 232

    INDIANAPOLIS, IN 462025112

    Phone: (317) 944-3636

    Fax: (317) 968-1371

    Type: Mailing

  • 705 RILEY HOSPITAL DR STE 3538

    INDIANAPOLIS, IN 462025109

    Phone: (317) 948-0345

    Fax: (317) 968-1372

    Type: Location

  • 530 DIVISADERO ST.

    PMB 759

    SAN FRANCISCO, CA 941172213

    Phone: (415) 523-5235

    Fax: (415) 523-5235

    Type: Mailing

  • 490 POST ST STE 1701

    SAN FRANCISCO, CA 941021308

    Phone: (415) 523-5235

    Fax: (415) 523-5235

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $2,742.

Total Amount is formed as General ($2,742) + Research ($0) + Ownership ($0) = $2,742.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($1,236).

Total Amount

$2,742

General + Research + Ownership

Payments

51

Total payment records

General Amount

$2,742

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

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: 2021-05-19

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
I20210519000557IPlastic And Reconstructive SurgeryCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
20245Biopsy of deep bone1312$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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Reviews

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Frequently asked questions

Can I verify NAVID POURTAHERI (M.D., PH.D) with an NPI only?
You can start verification with NPI 1942543681 for NAVID POURTAHERI (M.D., PH.D), then check state licensing separately.
Is NAVID POURTAHERI (M.D., PH.D) listed as active for patients and plans?
The listing shows NAVID POURTAHERI (M.D., PH.D) as active in the NPI system.
What healthcare role does NAVID POURTAHERI (M.D., PH.D) hold?
Scheduling teams often label NAVID POURTAHERI (M.D., PH.D) under Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect NAVID POURTAHERI (M.D., PH.D) on a map?
Expect Indianapolis, Indiana as a primary anchor for NAVID POURTAHERI (M.D., PH.D) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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