DR. KAMBIZ PAHLAVAN (M.D.) – Psychiatry Physician, NPI 1235103375

DR. KAMBIZ PAHLAVAN (M.D.) is a healthcare provider. based in Worcester, Massachusetts. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 33832 (WI). The NPI Number for DR. KAMBIZ PAHLAVAN (M.D.) is 1235103375

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAMBIZ PAHLAVAN (M.D.)
NPI
1235103375
Phone
(844) 319-0000
Address
100 CENTURY DRIVE
Enumeration Date
15 February 2006
Last Update Date
26 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8843190000
Graduation Year
1971 (55 years ago)
PAC ID
8921194580
Group Practice PAC ID
6901159003
Professional Enrollment ID
I20150807013706
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

Provider Addresses for DR. KAMBIZ PAHLAVAN (M.D.)

  • 100 CENTURY DRIVE

    WORCESTER, MA 01606

    Phone: (844) 319-0000

    Fax: (774) 701-0950

    Type: Mailing

  • 2448, South 102nd Street, West Allis, Milwaukee County, Wisconsin, 53227, United States

    SUITE 125

    WEST ALLIS, WI 532272466

    Phone: (414) 328-3800

    Fax: (414) 328-3818

    Type: Mailing

  • Rogers Memorial Hospital– West Allis, 11101, West Lincoln Avenue, West Allis, Milwaukee County, Wisconsin, 53227, United States

    WEST ALLIS, WI 532271133

    Phone: (414) 328-3703

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $353.

Total Amount is formed as General ($353) + Research ($0) + Ownership ($0) = $353.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($190).

Total Amount

$353

General + Research + Ownership

Payments

7

Total payment records

General Amount

$353

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2015-08-07

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
I20150807013706IPsychiatryMATBD

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 01606)

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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: 6901159003View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
-MA
Nurse PractitionerMA
-MA
Nurse PractitionerMA
P S Y C H I A T R YMA
Nurse PractitionerMA
P S Y C H I A T R YMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What NPI should I save for DR. KAMBIZ PAHLAVAN (M.D.)?
Save NPI 1235103375 if you need a stable reference for DR. KAMBIZ PAHLAVAN (M.D.).
Is DR. KAMBIZ PAHLAVAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. KAMBIZ PAHLAVAN (M.D.)?
The page reflects Psychiatry Physician for DR. KAMBIZ PAHLAVAN (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. KAMBIZ PAHLAVAN (M.D.)?
We surface Worcester, Massachusetts for DR. KAMBIZ PAHLAVAN (M.D.) based on available NPPES addresses.
How can I contact DR. KAMBIZ PAHLAVAN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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