SEYEDALIREZA FATEMI (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1144872276

SEYEDALIREZA FATEMI (MD) is a healthcare provider. based in Royal oak, Michigan. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 4351044731 (MI). The NPI Number for SEYEDALIREZA FATEMI (MD) is 1144872276

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
SEYEDALIREZA FATEMI (MD)
NPI
1144872276
Phone
(817) 247-5279
Address
3601 W 13 MILE RD
Enumeration Date
9 July 2019
Last Update Date
9 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8103965747
Graduation Year
2010 (16 years ago)
PAC ID
2961738372
Group Practice PAC ID
8628985215
Professional Enrollment ID
I20250505001653
Address ID
MI485072604FL4000XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

573 PATHOLOGY in MI

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Provider Addresses for SEYEDALIREZA FATEMI (MD)

  • Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480736712

    Phone: (817) 247-5279

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-05-05

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
I20250505001653IPathologyMITBD

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 48073)

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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: 8628985215View full group profile
NameSpecialtyState
-MI
P A T H O L O G YMI
P A T H O L O G YMI
Nurse PractitionerMI
P A T H O L O G YKY
P A T H O L O G YMI
P A T H O L O G YIN
P A T H O L O G YIN
P A T H O L O G YMI
P A T H O L O G YOK

Reviews

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Frequently asked questions

What number should I use to identify SEYEDALIREZA FATEMI (MD) for billing?
Administrative and clinical systems typically use NPI 1144872276 for SEYEDALIREZA FATEMI (MD).
Does the public listing show SEYEDALIREZA FATEMI (MD) as active?
SEYEDALIREZA FATEMI (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits SEYEDALIREZA FATEMI (MD)?
NPPES ties SEYEDALIREZA FATEMI (MD) to Anatomic Pathology & Clinical Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is SEYEDALIREZA FATEMI (MD) tied to Royal Oak, Michigan?
If you are local to Royal Oak, Michigan, SEYEDALIREZA FATEMI (MD) may be relevant to your search.
Who maintains SEYEDALIREZA FATEMI (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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