DR. MEHRDAD TAVALLAEE (MD) – Internal Medicine Physician, NPI 1689625634

DR. MEHRDAD TAVALLAEE (MD) is a healthcare provider. based in Ashland, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35079062T (OH). The NPI Number for DR. MEHRDAD TAVALLAEE (MD) is 1689625634

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. MEHRDAD TAVALLAEE (MD)
NPI
1689625634
Phone
(419) 289-1133
Address
2021 BANEY RD S STE A
Enumeration Date
15 May 2006
Last Update Date
29 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192899800
Graduation Year
1995 (31 years ago)
PAC ID
4183633886
Group Practice PAC ID
3072417534
Professional Enrollment ID
I20060407000079
Address ID
OH448054011AS1025XSTXX300
Telehealth
Yes

Contacts

Secure Messaging
mehrdadtavallaee@uhps.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

7,201 INTERNAL MEDICINE in OH

Provider Addresses for DR. MEHRDAD TAVALLAEE (MD)

  • 2021 BANEY RD S STE A

    ASHLAND, OH 448054574

    Phone: (419) 289-1133

    Fax: (419) 289-1132

    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 80 Open Payments records for all available years, with a total value of $1,384.

Total Amount is formed as General ($1,384) + Research ($0) + Ownership ($0) = $1,384.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($206).

Total Amount

$1,384

General + Research + Ownership

Payments

80

Total payment records

General Amount

$1,384

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

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: 2006-04-07

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
I20060407000079IInternal MedicineOHTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,491271$0
99214Established patient office or other outpatient visit, 30-39 minutes763226$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit194194$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes192177$0
99497Advance care planning, first 30 minutes134132$0
View full utilization report →

Insurance plans in this area (ZIP 44805)

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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: 3072417534View full group profile

Reviews

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Frequently asked questions

How do I look up DR. MEHRDAD TAVALLAEE (MD) by NPI?
Use NPI 1689625634 when you need to reference DR. MEHRDAD TAVALLAEE (MD) in forms, claims, or directories.
Does this profile mean DR. MEHRDAD TAVALLAEE (MD) is currently active?
Yes — DR. MEHRDAD TAVALLAEE (MD) appears active in the national provider directory.
Does DR. MEHRDAD TAVALLAEE (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. MEHRDAD TAVALLAEE (MD). Clinical services aligned with this taxonomy classification.
Does DR. MEHRDAD TAVALLAEE (MD) practice in Ohio?
You will see Ashland, Ohio on file for DR. MEHRDAD TAVALLAEE (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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