ALI REZA ESMAEILZADEH (MD) – Family Medicine Physician, NPI 1790746394

ALI REZA ESMAEILZADEH (MD) is a healthcare provider. based in Blaine, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 43644 (MN). The NPI Number for ALI REZA ESMAEILZADEH (MD) is 1790746394

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
ALI REZA ESMAEILZADEH (MD)
NPI
1790746394
Phone
(651) 343-3403
Address
2396 ARNOLD PALMER DR
Enumeration Date
31 March 2006
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512326700
Graduation Year
1998 (28 years ago)
PAC ID
2466408265
Group Practice PAC ID
3971407636
Professional Enrollment ID
I20050324000626
Address ID
MN551252202WO1825XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

Provider Addresses for ALI REZA ESMAEILZADEH (MD)

  • 2396 ARNOLD PALMER DR

    BLAINE, MN 554495517

    Phone: (651) 343-3403

    Type: Mailing

  • 2945 HAZELWOOD ST STE 100

    MAPLEWOOD, MN 551091242

    Phone: (651) 232-7800

    Type: Location

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • 9055, Springbrook Drive Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55433, United States

    COON RAPIDS, MN 554335841

    Phone: (763) 780-9155

    Type: Location

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: 2005-03-24

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
I20050324000626IFamily PracticeMNTBD

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
36415Insertion of needle into vein for collection of blood sample163102$0
99214Established patient office or other outpatient visit, 30-39 minutes12985$0
80053Blood test, comprehensive group of blood chemicals7765$0
80061Blood test, lipids (cholesterol and triglycerides)7061$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test6557$0
View full utilization report →

Insurance plans in this area (ZIP 55449)

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Provider's Procedures

ALI REZA ESMAEILZADEH (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN83036Hemoglobin A1C level1912
FAMILY MEDICINEMN85610Blood test, clotting time1514

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: 3971407636View full group profile

Reviews

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Frequently asked questions

How is ALI REZA ESMAEILZADEH (MD) identified in CMS data?
CMS-hosted NPPES data lists ALI REZA ESMAEILZADEH (MD) with NPI 1790746394.
Can I rely on ALI REZA ESMAEILZADEH (MD) being an active provider?
As of the registry snapshot, ALI REZA ESMAEILZADEH (MD) is marked active.
What is ALI REZA ESMAEILZADEH (MD)'s primary classification?
Family Medicine Physician is the headline specialty for ALI REZA ESMAEILZADEH (MD) here. Clinical services aligned with this taxonomy classification.
Does ALI REZA ESMAEILZADEH (MD) list a practice location?
Patients near Blaine, Minnesota may find ALI REZA ESMAEILZADEH (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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