ADIL M ANSARI (MD) – Family Medicine Physician, NPI 1730366378
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
Provider Addresses for ADIL M ANSARI (MD)
7790 DAYTON RD
SUITE B
FAIRBORN, OH 45324
Phone: (937) 864-7363
Fax: (937) 864-5895
Type: Location
7790 Dayton Rd
Suite B
Fairborn, OH 45324
Phone: (937) 864-7363
Fax: (937) 864-5895
Type: Location
PO BOX 339
ENON, OH 453230339
Phone: (937) 864-7363
Fax: (937) 864-5895
Type: Mailing
660 CHEROKEE ST NE STE 100
MARIETTA, GA 300608930
Phone: (678) 797-8201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $391.
Total Amount is formed as General ($391) + Research ($0) + Ownership ($0) = $391.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Lilly USA, LLC ($83).
Total Amount
$391
General + Research + Ownership
Payments
21
Total payment records
General Amount
$391
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
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: 2015-05-05
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 |
|---|---|---|---|---|
| I20150505001777 | I | Family Practice | GA | 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 | 358 | 270 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 254 | 211 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 118 | 118 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 111 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 97 | 89 | $0 |
Insurance plans in this area (ZIP 45324)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | OH | |
| - | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | GA |
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