DR. ALIREZA MAHMOUDI (MD) – Ophthalmology Physician, NPI 1497508642

DR. ALIREZA MAHMOUDI (MD) is a healthcare provider. based in Edina, Minnesota. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 39157 (FL). The NPI Number for DR. ALIREZA MAHMOUDI (MD) is 1497508642

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALIREZA MAHMOUDI (MD)
NPI
1497508642
Phone
(952) 929-1131
Address
3601 W 76TH ST STE 300
Enumeration Date
8 April 2024
Last Update Date
23 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529291131
Graduation Year
2012 (14 years ago)
PAC ID
1951803089
Group Practice PAC ID
6709899768
Professional Enrollment ID
I20250908000598
Address ID
MN554353004MI3601XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:2State licenses:2Digital endpointsOther names

415 OPHTHALMOLOGY in MN

Provider Addresses for DR. ALIREZA MAHMOUDI (MD)

  • 3601 W 76TH ST STE 300

    EDINA, MN 554353004

    Phone: (952) 929-1131

    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 4 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($125).

Total Amount

$201

General + Research + Ownership

Payments

4

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2025-09-08

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
I20250908000598IOphthalmologyMNTBD

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 55435)

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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: 6709899768View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YWV
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

Does DR. ALIREZA MAHMOUDI (MD) have a public NPI I can cite?
Public records show DR. ALIREZA MAHMOUDI (MD) under NPI 1497508642.
Is DR. ALIREZA MAHMOUDI (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. ALIREZA MAHMOUDI (MD) as active.
What type of care does DR. ALIREZA MAHMOUDI (MD) provide?
DR. ALIREZA MAHMOUDI (MD)'s profile centers on Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. ALIREZA MAHMOUDI (MD) in Edina, Minnesota?
For routing, start with Edina, Minnesota for DR. ALIREZA MAHMOUDI (MD), then verify phone and hours locally.
Who maintains DR. ALIREZA MAHMOUDI (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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