SOUDABEH AHADI (M.D.) – Obstetrics & Gynecology Physician, NPI 1174510275

SOUDABEH AHADI (M.D.) is a healthcare provider. based in Monroe, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 036376 (MI). The NPI Number for SOUDABEH AHADI (M.D.) is 1174510275

Main info

Female
61 Years Of Experience
Accepts Medicare Assignment
Name
SOUDABEH AHADI (M.D.)
NPI
1174510275
Phone
(734) 242-2022
Address
55 COLE RD
Enumeration Date
4 October 2005
Last Update Date
4 November 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7342422022
Graduation Year
1965 (61 years ago)
PAC ID
7911000328
Group Practice PAC ID
0941369912
Professional Enrollment ID
I20070305000554
Address ID
MI481624103MO55XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,735 OBSTETRICS/GYNECOLOGY in MI

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Provider Addresses for SOUDABEH AHADI (M.D.)

  • Monroe OBGYN, 55, Cole Road, Monroe, Monroe County, Michigan, 48162, United States

    MONROE, MI 481624103

    Phone: (734) 242-2022

    Fax: (734) 242-2251

    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)

CMS reports 55 Open Payments records for all available years, with a total value of $1,288.

Total Amount is formed as General ($1,288) + Research ($0) + Ownership ($0) = $1,288.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Astellas Pharma US Inc ($322).

Total Amount

$1,288

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2007-03-05

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
I20070305000554IObstetrics/GynecologyMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes320154$0
99214Established patient office or other outpatient visit, 30-39 minutes235163$0
76856Complete ultrasound scan of pelvis9790$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina9688$0
77080Dxa bone density measurement of hip, pelvis, spine4949$0
View full utilization report →

Insurance plans in this area (ZIP 48162)

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Provider's Procedures

SOUDABEH AHADI (M.D.) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYMI76830Ultrasound pelvis through vagina3632

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: 0941369912View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Family Practice, Obstetrics/GynecologyCA

Reviews

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Frequently asked questions

How do I look up SOUDABEH AHADI (M.D.) by NPI?
Use NPI 1174510275 when you need to reference SOUDABEH AHADI (M.D.) in forms, claims, or directories.
Is SOUDABEH AHADI (M.D.)'s NPI currently valid?
The extract we use shows SOUDABEH AHADI (M.D.) as active.
What kind of provider is SOUDABEH AHADI (M.D.)?
The page reflects Obstetrics & Gynecology Physician for SOUDABEH AHADI (M.D.). Clinical services aligned with this taxonomy classification.
Does SOUDABEH AHADI (M.D.) practice in Michigan?
You will see Monroe, Michigan on file for SOUDABEH AHADI (M.D.) alongside any extra practice locations.
Is SOUDABEH AHADI (M.D.) a real provider?
This page reflects official NPPES data for NPI 1174510275. Always confirm identity and privileges with the practice and licensing boards.

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