ALI REZA ABTAHI (D.O.) – Plastic and Reconstructive Surgery Physician, NPI 1518224401
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
293 PLASTIC AND RECONSTRUCTIVE SURGERY in OH
Provider Addresses for ALI REZA ABTAHI (D.O.)
1 WYOMING ST
SEVENTH FLOOR, WCHE
DAYTON, OH 454092722
Phone: (937) 208-2177
Fax: (937) 208-2105
Type: Mailing
11816 INWOOD RD # 1400
DALLAS, TX 752448011
Phone:
Type: Mailing
5288 TOWNE SQUARE DR STE 150
PLANO, TX 750240037
Phone: (469) 293-8707
Fax: (469) 294-8707
Type: Location
3025 N Tarrant Pkwy Ste 100
Fort Worth, TX 761778625
Phone: (469) 293-2533
Type: Location
317 6TH AVE STE 400
DES MOINES, IA 503094108
Phone: (515) 216-0962
Fax: (515) 864-0259
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $251.
Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Solta Medical, a division of Bausch Health US, LLC ($97).
Total Amount
$251
General + Research + Ownership
Payments
7
Total payment records
General Amount
$251
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-07-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210527002084 | I | Plastic And Reconstructive Surgery | TX | TBD |
| I20220516000690 | I | Plastic And Reconstructive Surgery | NC | TBD |
| I20230714000741 | I | Osteopathic Manipulative Medicine | WY | TBD |
| I20230725003979 | I | Plastic And Reconstructive Surgery | WV | TBD |
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.
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 45409)
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