AMBREEN S ANSARI (D.O.) – Family Medicine Physician, NPI 1780045310
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
Provider Addresses for AMBREEN S ANSARI (D.O.)
4503, East 26th Street, Mayo Meadow, Tulsa, Tulsa County, Oklahoma, 74114, United States
TULSA, OK 741144860
Phone:
Type: Mailing
855 W BROAD ST STE A
ATHENS, GA 306012511
Phone: (706) 850-6134
Type: Location
1016 E SPRING ST
MONROE, GA 306552469
Phone: (770) 464-0280
Fax: (770) 464-0233
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $325.
Total Amount is formed as General ($325) + Research ($0) + Ownership ($0) = $325.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Astellas Pharma US Inc ($64).
Total Amount
$325
General + Research + Ownership
Payments
19
Total payment records
General Amount
$325
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $64 |
| Lilly USA, LLC | $41 |
| PFIZER INC. | $33 |
| Novo Nordisk Inc | $32 |
| Otsuka America Pharmaceutical, Inc. | $22 |
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: 2020-09-14
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 |
|---|---|---|---|---|
| I20200914000754 | 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 | 58 | 33 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 31 | 31 | $0 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 31 | 31 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 27 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 18 | $0 |
Insurance plans in this area (ZIP 74114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Geriatric Medicine | GA | |
| Emergency Medicine | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA |
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