ALI ARDESTANI (MD, MSC) – Diagnostic Radiology Physician, NPI 1043553969

ALI ARDESTANI (MD, MSC) is a healthcare provider. based in Jamaica plain, Massachusetts. specializing in INTERVENTIONAL RADIOLOGY. They hold the professional credentials MD, MSC. They hold a License No. 282820 (MA). The NPI Number for ALI ARDESTANI (MD, MSC) is 1043553969

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
ALI ARDESTANI (MD, MSC)
NPI
1043553969
Phone
(336) 501-0556
Address
14 PERKINS SQ
Enumeration Date
28 March 2013
Last Update Date
16 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7602309990
Graduation Year
2008 (18 years ago)
PAC ID
0446482566
Group Practice PAC ID
8628412418
Professional Enrollment ID
I20241114003055
Address ID
CA922605007PA72650DRXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:13State licenses:2Digital endpointsOther names

188 INTERVENTIONAL RADIOLOGY in MA

Provider Addresses for ALI ARDESTANI (MD, MSC)

  • 14 PERKINS SQ

    APT 2

    JAMAICA PLAIN, MA 021301734

    Phone: (336) 501-0556

    Type: Mailing

  • 75 FRANCIS ST

    BOSTON, MA 021156110

    Phone: (617) 525-8688

    Type: Location

  • 18092 WIKA RD STE 220

    APPLE VALLEY, CA 923072132

    Phone: (760) 515-6260

    Type: Mailing

  • 1221 N INDIAN CANYON DR

    PALM SPRINGS, CA 922624875

    Phone: (760) 610-8650

    Type: Location

  • 2014 Washington St

    Newton, MA 024621699

    Phone: (617) 243-6000

    Type: Location

  • 55 Fruit St

    Boston, MA 021142696

    Phone: (617) 726-2000

    Type: Location

  • 2014 WASHINGTON ST

    NEWTON, MA 024621699

    Phone: (617) 243-6000

    Type: Mailing

  • 55 FRUIT ST

    BOSTON, MA 021142696

    Phone: (617) 726-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $1,014.

Total Amount is formed as General ($1,014) + Research ($0) + Ownership ($0) = $1,014.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Inari Medical, Inc. ($774).

Total Amount

$1,014

General + Research + Ownership

Payments

6

Total payment records

General Amount

$1,014

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

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: 2024-11-14

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
I20241114003055IInterventional RadiologyCATBD

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
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes5754$0
76942Ultrasonic guidance for needle placement4141$0
75984Review by radiologist of image for replacement of stomach or large bowel tube3628$0
77001Fluoroscopic guidance for insertion or removal of central vein access device3231$0
50435Replacement of kidney drainage tube using imaging guidance with review by radiologist3019$0
View full utilization report →

Insurance plans in this area (ZIP 02130)

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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: 8628412418View full group profile
NameSpecialtyState
Physician AssistantCA

Reviews

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Frequently asked questions

Can I use this page to confirm ALI ARDESTANI (MD, MSC)'s NPI?
Yes. ALI ARDESTANI (MD, MSC) is listed with NPI 1043553969 in the public NPI dataset.
Is ALI ARDESTANI (MD, MSC) listed as active for patients and plans?
The listing shows ALI ARDESTANI (MD, MSC) as active in the NPI system.
What healthcare role does ALI ARDESTANI (MD, MSC) hold?
Scheduling teams often label ALI ARDESTANI (MD, MSC) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect ALI ARDESTANI (MD, MSC) on a map?
Expect Jamaica Plain, Massachusetts as a primary anchor for ALI ARDESTANI (MD, MSC) unless the record lists multiple sites.
Why does ALI ARDESTANI (MD, MSC) have multiple addresses?
8 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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