DR. GHAZAL KOOSHK JALALI (MD) – Internal Medicine Physician, NPI 1154843571
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,244 INTERNAL MEDICINE in MD
Provider Addresses for DR. GHAZAL KOOSHK JALALI (MD)
900 S Caton Ave
Baltimore, MD 212295201
Phone: (310) 880-6424
Type: Location
Saint Agnes Hospital, 900, South Caton Avenue, Violetville, Baltimore, Maryland, 21229, United States
BALTIMORE, MD 212295201
Phone: (310) 880-6424
Type: Location
2801 ATLANTIC AVE
LONG BEACH, CA 908061701
Phone: (562) 933-2000
Type: Location
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.
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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: 2020-10-28
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 |
|---|---|---|---|---|
| I20201028003046 | I | Internal Medicine | CA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 212 | 199 | $0 |
Insurance plans in this area (ZIP 21229)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Internal Medicine | CA | |
| Family Practice, Hospitalist | CA | |
| H O S P I T A L I S T | CA | |
| Family Practice | TN | |
| Critical Care (Intensivists), Internal Medicine | PA | |
| Internal Medicine | NV | |
| Family Practice, Internal Medicine | TN | |
| Family Practice | CA | |
| Internal Medicine | MO |
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