ROULA ALTISHEH (M.D) – Allergy & Immunology Physician, NPI 1609132125
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
185 ALLERGY/IMMUNOLOGY in OH
Provider Addresses for ROULA ALTISHEH (M.D)
9500 EUCLID AVE
CLEVELAND, OH 441950002
Phone: (216) 445-5810
Fax: (216) 445-5813
Type: Mailing
1501 N Campbell Ave
Room 2342
Tucson, AZ 857240001
Phone: (520) 626-8309
Fax: (520) 626-1876
Type: Location
9500 Euclid Ave
Cleveland, OH 44195
Phone: (216) 445-5810
Fax: (216) 445-5813
Type: Location
8170 33RD AVE S
MS 21110Q
BLOOMINGTON, MN 554254516
Phone:
Type: Mailing
401 PHALEN BLVD
SAINT PAUL, MN 551305302
Phone: (651) 254-7560
Type: Location
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 $468.
Total Amount is formed as General ($468) + Research ($0) + Ownership ($0) = $468.
Last reported payment date: 2024-01-02 • Largest payer in this snapshot: Halozyme Inc ($468).
Total Amount
$468
General + Research + Ownership
Payments
1
Total payment records
General Amount
$468
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Halozyme Inc | $468 |
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: 2024-07-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240716000990 | I | Allergy/Immunology | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 37 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
Insurance plans in this area (ZIP 44195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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