DR. TINA AHMADINEJAD (M.D.) – Family Medicine Physician, NPI 1114331337

DR. TINA AHMADINEJAD (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MT207183 (PA). The NPI Number for DR. TINA AHMADINEJAD (M.D.) is 1114331337

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. TINA AHMADINEJAD (M.D.)
NPI
1114331337
Phone
(267) 463-5800
Address
1080 N DELAWARE AVE STE 800
Enumeration Date
16 June 2014
Last Update Date
6 January 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
6108726131
Graduation Year
2014 (12 years ago)
PAC ID
4789956905
Group Practice PAC ID
5991695389
Professional Enrollment ID
I20170823002908
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for DR. TINA AHMADINEJAD (M.D.)

  • 1080 N DELAWARE AVE STE 800

    PHILADELPHIA, PA 191254338

    Phone: (267) 463-5800

    Fax: (215) 586-6038

    Type: Location

  • 125 E 9TH ST

    CHESTER, PA 190136098

    Phone: (610) 872-6131

    Fax: (610) 872-5128

    Type: Mailing

  • 125 E 9th St

    Chester, PA 190136098

    Phone: (610) 872-6131

    Fax: (610) 872-5128

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $270.

Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: ABBVIE INC. ($124).

Total Amount

$270

General + Research + Ownership

Payments

5

Total payment records

General Amount

$270

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-08-23

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
I20170823002908IFamily PracticePATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19125)

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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: 5991695389View full group profile
NameSpecialtyState
Internal MedicinePA
Nurse PractitionerPA
Nurse PractitionerPA
Registered Dietitian Or Nutrition ProfessionalPA
Family PracticePA
Family PracticePA
Family PracticePA
-PA
Family PracticePA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

What is DR. TINA AHMADINEJAD (M.D.)'s NPI number?
DR. TINA AHMADINEJAD (M.D.)'s NPI is 1114331337 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. TINA AHMADINEJAD (M.D.)?
You should see DR. TINA AHMADINEJAD (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. TINA AHMADINEJAD (M.D.)?
DR. TINA AHMADINEJAD (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is DR. TINA AHMADINEJAD (M.D.) registered?
Use Philadelphia, Pennsylvania as the headline location for DR. TINA AHMADINEJAD (M.D.) here.
When was this NPI issued?
Enumeration for DR. TINA AHMADINEJAD (M.D.) is noted as June 16, 2014 where the registry provides it.

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