DR. ALI MOKHTARZADEH (M.D.) – Ophthalmic Plastic and Reconstructive Surgery Physician, NPI 1225299647

DR. ALI MOKHTARZADEH (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 55387 (MN). The NPI Number for DR. ALI MOKHTARZADEH (M.D.) is 1225299647

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALI MOKHTARZADEH (M.D.)
NPI
1225299647
Phone
(612) 625-4654
Address
420 DELAWARE ST SE
Enumeration Date
18 June 2008
Last Update Date
29 July 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6126727422
Graduation Year
2008 (18 years ago)
PAC ID
2860642402
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20121017000374
Address ID
MN554550363MI500XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

415 OPHTHALMOLOGY in MN

Provider Addresses for DR. ALI MOKHTARZADEH (M.D.)

  • 420 DELAWARE ST SE

    MMC 493

    MINNEAPOLIS, MN 554550341

    Phone: (612) 625-4654

    Fax: (612) 626-3119

    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 5 Open Payments records for all available years, with a total value of $195.

Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Stryker Corporation ($142).

Total Amount

$195

General + Research + Ownership

Payments

5

Total payment records

General Amount

$195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

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: 2012-10-17

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
I20121017000374IOphthalmologyMNTBD

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
92285Photography of content of eyes135132$0
99214Established patient office or other outpatient visit, 30-39 minutes7270$0
99213Established patient office or other outpatient visit, 20-29 minutes6254$0
99204New patient office or other outpatient visit, 45-59 minutes6060$0
92081Exam of visual field with limited testing5555$0
View full utilization report →

Insurance plans in this area (ZIP 55455)

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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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

How do I look up DR. ALI MOKHTARZADEH (M.D.) by NPI?
Use NPI 1225299647 when you need to reference DR. ALI MOKHTARZADEH (M.D.) in forms, claims, or directories.
Does this profile mean DR. ALI MOKHTARZADEH (M.D.) is currently active?
Yes — DR. ALI MOKHTARZADEH (M.D.) appears active in the national provider directory.
What field does DR. ALI MOKHTARZADEH (M.D.) work in?
You can think of DR. ALI MOKHTARZADEH (M.D.) as practicing within Ophthalmic Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. ALI MOKHTARZADEH (M.D.) practice in Minnesota?
You will see Minneapolis, Minnesota on file for DR. ALI MOKHTARZADEH (M.D.) alongside any extra practice locations.
How can I contact DR. ALI MOKHTARZADEH (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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