FERESHTEH AZAD (MD) – Ophthalmic Plastic and Reconstructive Surgery Physician, NPI 1033738497

FERESHTEH AZAD (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. U9202 (TX). The NPI Number for FERESHTEH AZAD (MD) is 1033738497

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
FERESHTEH AZAD (MD)
NPI
1033738497
Phone
Not provided
Address
25 MICHIGAN ST NE STE 2100
Enumeration Date
15 April 2020
Last Update Date
30 May 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5126425050
Graduation Year
2020 (6 years ago)
PAC ID
7214351832
Group Practice PAC ID
4284947292
Professional Enrollment ID
I20240529002876
Address ID
TX787045741AU2800XIHXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

844 OPHTHALMOLOGY in MI

Provider Addresses for FERESHTEH AZAD (MD)

  • 25 MICHIGAN ST NE STE 2100

    GRAND RAPIDS, MI 495032526

    Phone:

    Type: Mailing

  • 7004 BEE CAVES RD STE 2-100

    WEST LAKE HILLS, TX 787465086

    Phone: (512) 642-5050

    Fax: (512) 642-8186

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $899.

Total Amount is formed as General ($899) + Research ($0) + Ownership ($0) = $899.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Alcon Vision LLC ($264).

Total Amount

$899

General + Research + Ownership

Payments

10

Total payment records

General Amount

$899

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

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: 2024-05-29

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
I20240529002876IOphthalmologyTXTBD

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 49503)

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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: 4284947292View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
Plastic And Reconstructive SurgeryLA
Plastic And Reconstructive SurgeryMI
Physician AssistantTX

Reviews

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Frequently asked questions

How is FERESHTEH AZAD (MD) identified in CMS data?
CMS-hosted NPPES data lists FERESHTEH AZAD (MD) with NPI 1033738497.
Is FERESHTEH AZAD (MD) still practicing?
FERESHTEH AZAD (MD) is currently listed as active in the public NPI registry.
What is FERESHTEH AZAD (MD)'s specialty?
The listing groups FERESHTEH AZAD (MD) with Ophthalmic Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does FERESHTEH AZAD (MD) serve?
FERESHTEH AZAD (MD)'s listing highlights Grand Rapids, Michigan; more addresses can appear in NPPES.
Why does FERESHTEH AZAD (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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