MRS. CAMELLIA MAZLOOMDOOST (MD) – Psychiatry Physician, NPI 1952372419
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
398 PSYCHIATRY in KY
Provider Addresses for MRS. CAMELLIA MAZLOOMDOOST (MD)
1701 Cumberland Falls HWY STE 5
Corban, KY 40701
Phone: (859) 275-4878
Type: Location
715 Shaker Dr
Ste 101 Pain Management Medicine
Lexington, KY 40504
Phone: (859) 275-4878
Fax: (859) 276-5400
Type: Location
Shaker Drive, Harrodsburg Square Condominiums, Lexington, Fayette County, Kentucky, 40504, United States
STE 101 PAIN MANAGEMENT MEDICINE
LEXINGTON, KY 40504
Phone: (859) 275-4878
Fax: (859) 276-5400
Type: Location
101 N EAGLE CREEK DR
LEXINGTON, KY 405091806
Phone: (859) 275-4878
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Nevro Corp. ($24).
Total Amount
$66
General + Research + Ownership
Payments
3
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $24 |
| Otsuka America Pharmaceutical, Inc. | $24 |
| ABBVIE INC. | $18 |
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: 2010-12-02
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 |
|---|---|---|---|---|
| I20101202001172 | I | Psychiatry | KY | 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 40701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | KY | |
| Physical Medicine And Rehabilitation | KY | |
| Physical Therapist In Private Practice | KY |
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