KEYVAN HESHMATI (MD) – Neurology Physician, NPI 1750840526

KEYVAN HESHMATI (MD) is a healthcare provider. based in Newark, New Jersey. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 24947 (NV). The NPI Number for KEYVAN HESHMATI (MD) is 1750840526

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
KEYVAN HESHMATI (MD)
NPI
1750840526
Phone
(973) 972-5209
Address
90 BERGEN ST STE 5200
Enumeration Date
19 March 2019
Last Update Date
5 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023832000
Graduation Year
2011 (15 years ago)
PAC ID
7911440086
Group Practice PAC ID
6204107840
Professional Enrollment ID
I20240617003692
Address ID
NV891022329LA1800XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

713 NEUROLOGY in NJ

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Provider Addresses for KEYVAN HESHMATI (MD)

  • Bergen Street, Newark, Essex County, New Jersey, 07112, United States

    NEWARK, NJ 071032425

    Phone: (973) 972-5209

    Type: Mailing

  • 2863 SAINT ROSE PKWY

    HENDERSON, NV 890524806

    Phone: (702) 790-1521

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-04-14 • Largest payer in this snapshot: Eisai Inc. ($45).

Total Amount

$45

General + Research + Ownership

Payments

1

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Eisai Inc.$45
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: 2024-06-17

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
I20240617003692INeurologyNVTBD

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 07103)

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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: 6204107840View full group profile
NameSpecialtyState
Nurse PractitionerNV
N E U R O L O G YIN

Reviews

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Frequently asked questions

Does KEYVAN HESHMATI (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KEYVAN HESHMATI (MD) uses 1750840526.
Is KEYVAN HESHMATI (MD) still practicing?
KEYVAN HESHMATI (MD) is currently listed as active in the public NPI registry.
What is KEYVAN HESHMATI (MD)'s specialty?
The listing groups KEYVAN HESHMATI (MD) with Neurology Physician. Clinical services aligned with this taxonomy classification.
Where is KEYVAN HESHMATI (MD) based?
KEYVAN HESHMATI (MD) is tied to Newark, New Jersey in the data we show; additional addresses may exist on the full record.
Is the information about KEYVAN HESHMATI (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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